Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

34
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
34
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

32
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
32
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

53
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
53
Flail Chest-II01:26

Flail Chest-II

242
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
242
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

46
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
46
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

205
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
205

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Safety of ultra-permissive anemia within a cardiac surgery patient blood management program.

JTCVS open·2025
Same author

Safety of internal thoracic artery use in patients with prior mediastinal radiation undergoing coronary artery bypass grafting: a Maryland statewide propensity-matched analysis.

Heart (British Cardiac Society)·2025
Same author

The 7 Pillars of Preoperative Anemia Management.

Innovations (Philadelphia, Pa.)·2025
Same author

The prevalence and predictors of post-intensive care syndrome following cardiac surgery.

JTCVS open·2025
Same author

Duration of Post-Hospital Discharge Opioids Affects Long-Term Physical Function and Pain Following Cardiac Surgery at a Community Hospital.

Innovations (Philadelphia, Pa.)·2025
Same author

Definitions of Cardiogenic Shock and Indications for Temporary Mechanical Circulatory Support: Joint Consensus Report of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society.

The Annals of thoracic surgery·2025

Related Experiment Video

Updated: Sep 19, 2025

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

64.1K

Replacing Sternal Precautions as Part of a Cardiac Enhanced Recovery Program.

Rachel Born1, Kate Knott2, Amanda Rea2

  • 1Department of Rehabilitation, St. Joseph Medical Center, University of Maryland, Towson, Maryland.

Annals of Thoracic Surgery Short Reports
|June 17, 2025
PubMed
Summary
This summary is machine-generated.

The "Keep Your Move in The Tube" (KYMITT) program enables early upper extremity mobility after cardiac surgery. This initiative successfully facilitated direct home discharge for patients without increasing sternal complications.

More Related Videos

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
05:26

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Published on: May 28, 2019

9.4K
Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
09:12

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery

Published on: March 27, 2018

9.6K

Related Experiment Videos

Last Updated: Sep 19, 2025

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

64.1K
Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
05:26

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Published on: May 28, 2019

9.4K
Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
09:12

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery

Published on: March 27, 2018

9.6K

Area of Science:

  • Cardiovascular Surgery
  • Surgical Patient Recovery
  • Enhanced Recovery Protocols

Background:

  • Sternal precautions after cardiac surgery can delay direct home discharge.
  • The Enhanced Recovery After Surgery (ERAS) program introduced "Keep Your Move in The Tube" (KYMITT).
  • KYMITT allows early upper extremity activity, challenging traditional sternal precautions.

Purpose of the Study:

  • To evaluate the impact of KYMITT on early patient mobility and direct home discharge.
  • To assess if KYMITT implementation increases sternal complications post-cardiac surgery.

Main Methods:

  • Analysis of 1640 adult cardiac surgery patients (median sternotomy) from Oct 2020-Dec 2023.
  • KYMITT was implemented as part of an ERAS program.
  • Comparison with historical controls (n=550) from Jan-Dec 2019.

Main Results:

  • A higher percentage of KYMITT patients were discharged home (84% vs. 70%, P < .001).
  • No significant differences in surgical site infections, deep sternal wound infections, or sternal dehiscence rates were observed.
  • Average patient age was 66 years, with a majority being male in both eras.

Conclusions:

  • KYMITT, within an ERAS program, facilitates direct home discharge for cardiac surgery patients.
  • The program allows early mobility without compromising sternal wound healing.
  • KYMITT represents a safe and effective component of modern post-cardiac surgery care.