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Related Experiment Videos

Reoperation in the intensive care unit.

G C Kaiser1, K S Naunheim, A C Fiore

  • 1Department of Surgery, St. Louis University School of Medicine, Missouri.

The Annals of Thoracic Surgery
|June 1, 1990
PubMed
Summary
This summary is machine-generated.

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Early reoperations after open heart surgery are safe and effective in the intensive care unit (ICU). Performing procedures like bleeding reexploration and balloon removal in the ICU reduces costs and transit time.

Area of Science:

  • Cardiovascular Surgery
  • Surgical Critical Care

Background:

  • Early reoperations are sometimes necessary after open heart operations.
  • The location for these reoperations (intensive care unit vs. operating room) impacts efficiency and cost.

Purpose of the Study:

  • To evaluate the safety, efficacy, and resource utilization of early reoperations performed in the intensive care unit (ICU) compared to the operating room (OR).

Main Methods:

  • Retrospective review of 1,259 open heart operations between July 1, 1984, and June 30, 1989.
  • Analysis of 110 patients (8.7%) who underwent 162 early reoperations.
  • Comparison of procedures performed in the ICU versus the OR, including indications, outcomes, and associated costs.

Main Results:

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  • 162 early reoperations were performed, most commonly for bleeding (3.9%) and intraaortic balloon removal (4.0%).
  • The majority of reoperations (90-96%) were safely and effectively performed in the ICU.
  • ICU reoperations were associated with no infections, minimal mortality, and significantly lower costs compared to OR procedures.

    • Conclusions:

    • Reoperation in the ICU is a safe, effective, and economical alternative to the OR for specific early postoperative procedures.
    • Expanded use of ICU reoperations can improve patient care efficiency and reduce healthcare costs.