Key result
Cardiopulmonary bypass surgery is linked to a ~1% incidence of major acute abdominal complications.
Why the study?
What is the incidence and appropriate management of acute abdominal complications following cardiopulmonary bypass surgery?
Observational
What is the incidence and appropriate management of acute abdominal complications following cardiopulmonary bypass surgery?
Acute abdominal complications after cardiopulmonary bypass are rare (0.85%) but require a high index of suspicion and should be managed according to standard surgical practice despite recent cardiac surgery.
Maintain high suspicion for abdominal complications after bypass surgery despite sedation; Level 5 data leaves open need for prospective validation.
Over a 5-year period, 9 patients (0.85 per cent) developed a major acute abdominal complication after cardiopulmonary bypass surgery. Difficulties in the initial recognition and diagnosis of these complications in sedated, ill patients are highlighted. A high index of suspicion is important in the early diagnosis of these complications. The numbers are too small for statistical analysis, but experience suggests that each case should be dealt with on its merits in accordance with common surgical practice and that operative management should not be rejected because the patient has recently undergone a major cardiac operation.
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Wallwork et al. (1980) conducted an observational in Acute abdomen following cardiopulmonary bypass surgery. Cardiopulmonary bypass surgery was evaluated on Major acute abdominal complication. Major acute abdominal complications developed in 0.85% of patients following cardiopulmonary bypass surgery, highlighting the need for a high index of suspicion for early diagnosis.
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