Related Experiment Video
Updated: May 5, 2026
Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Planned Reoperation after Cardiac Surgery in the Cardiac Intensive Care Unit
Zhigang Wang1, Yubei Kang1, Zheyun Wang1
1Department of Cardio-thoracic Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, 210008 Nanjing, Jiangsu, China.
Insights
Performing cardiac re-explorations for bleeding in the Cardiac Intensive Care Unit (CICU) is safe and feasible. This approach did not increase major complications or mortality compared to the operating room (OR).
Area of Science:
- Cardiovascular Surgery
- Critical Care Medicine
- Surgical Outcomes Research
Background:
- Re-exploration for bleeding after cardiac surgery is linked to higher morbidity and mortality.
- The optimal location for these re-explorations, Operating Room (OR) versus Cardiac Intensive Care Unit (CICU), remains uncertain.
Purpose of the Study:
- To evaluate the impact of re-exploration location (OR vs. CICU) on postoperative outcomes following cardiac surgery requiring re-exploration for bleeding.
Main Methods:
- Retrospective analysis of patients undergoing planned cardiac re-explorations for bleeding between January 2019 and December 2021.
- Comparison of patient outcomes between those operated in the CICU and the OR.
Main Results:
- Out of 72 patients, 21 were re-explored in the CICU and 51 in the OR, mostly within 12 hours of the primary surgery.
- Multivariate analysis indicated that CICU re-exploration was not an independent risk factor for major complications.
- No significant difference in mortality was observed between the CICU and OR groups.
Conclusions:
- Planned re-exploration for bleeding after open cardiac surgery can be safely performed in the CICU.
- The CICU provides a feasible alternative location for these critical procedures without compromising patient safety.
Background:
Cardiac surgical re-exploration for bleeding is associated with increased morbidity and mortality. Whether to perform these procedures in the operating room (OR) or the Cardiac Intensive Care Unit (CICU) in uncertain. We sought to determine if the location of the reoperation would affect postoperative outcomes when a reoperation for bleeding is required following cardiac surgery.
Methods:
Patients who underwent planned cardiac re-explorations for bleeding at our center from January 2019 to December 2021 were retrospectively enrolled in this study. Patient outcomes were compared and analyzed.
Results:
Due to hemorrhagic shock, 72 patients underwent planned cardiac re-explorations, including 21 operated in the CICU and 51 in the OR. Within 12 h of the primary operation, 65 re-explorations (90.3%) were performed. The peak Vasoactive-Inotropic Score was 47.0 27.4, systolic blood pressure was 89.4 9.6 mmHg, central venous pressure was 12.1 4.4 O, and the serum lactate was 5.5 4.1 mmol/L prior to the reoperation. Multivariate logistic analysis showed that a reoperation performed in the CICU was not an independent risk factor for the occurrence of major complications. There was no significant difference in mortality between the two groups.
Conclusions:
Planned re-exploration for bleeding following open cardiac surgery in the CICU is feasible and safe.
More Related Videos
14:14Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
08:42Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Related Concept Videos
01:28Cardiac Catheterization I: Pre-Procedure Overview
01:21Cardiac Catheterization II: Right Heart Catheterization
01:27Coronary Artery Disease V: Interprofessional Care
01:28Acute Coronary Syndrome IV: Interprofessional Care
01:29Cardiomyopathy V: Interprofessional Care
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management