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Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Thoracic Aorta01:15

Thoracic Aorta

The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...

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Related Experiment Video

Updated: May 13, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Day admission for thoracic aortic surgery.

G Silvay1

  • 1Department of Anesthesiology, The Mount Sinai School of Medicine, New York, USA.

HSR Proceedings in Intensive Care & Cardiovascular Anesthesia
|February 27, 2013
PubMed
Summary

Same-day admission for elective cardiac surgery is safe and cost-effective. A comprehensive preoperative evaluation for patients undergoing aortic intervention ensures optimal care and a smoother hospitalization.

Keywords:
anesthesiaaortic surgeryday admissionsurgeryvascular surgery

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Area of Science:

  • Cardiology
  • Vascular Surgery
  • Health Economics

Background:

  • Elective cardiac surgical patients can be admitted on the day of surgery.
  • Day admission surgery offers safety and economic benefits.
  • Patients not requiring immediate surgery are enrolled in a serial follow-up program.

Purpose of the Study:

  • To describe the institution's three-year experience with 350 patients from the Aortic Aneurysm Surveillance Program.
  • To evaluate the safety and benefits of day admission for elective cardiac surgery, particularly aortic interventions.
  • To highlight the advantages of a complete preoperative evaluation for complex cardiac surgical patients.

Main Methods:

  • Patients were seen 3-7 days prior to day admission surgery in a preoperative clinic.
  • A reassessment was performed on the morning of surgery to detect interval changes.
  • Data was collected over a three-year period from 350 referred patients.

Main Results:

  • Day admission surgery for elective cardiac procedures was found to be safe with optimal patient care.
  • The approach provided significant economic benefits.
  • A complete preoperative evaluation was beneficial for both patients and medical staff, promoting hospital stay harmony.

Conclusions:

  • Same-day admission for elective cardiac surgery is a safe and economically advantageous model.
  • Comprehensive preoperative assessment is crucial for managing complex patients, especially those undergoing aortic interventions.
  • This integrated approach enhances patient care and optimizes the overall hospitalization experience.