publication . Doctoral thesis . 2003

Wound ventilation : A new concept for prevention of complications in cardiac surgery

Persson, Mikael;
English
  • Published: 01 Jan 2003
  • Publisher: Karolinska Institutet, Department of Laboratory Medicine
  • Country: Sweden
Abstract
Cardiac surgery through an open chest wound is a major operation both in size and duration. The wound exposure to ambient air implies considerable risks. 1) Air may enter the heart and great vessels and embolize to the brain or cardiac muscle where it may cause dysfunction or permanent damage. 2) The wound is exposed to airborne bacterial contamination, which may lead to postoperative wound infection. 3) The wound is subjected to desiccation, which may lead to serious adhesions and possible impairment of cardiac function. Intraoperative wound ventilation with carbon dioxide (CO2) might help to protect the patient against these risks. CO2 is more soluble than air...
Subjects
Medical Subject Headings: integumentary system
free text keywords: MEDICAL AND HEALTH SCIENCES, MEDICIN OCH HÄLSOVETENSKAP, Cardiac surgery, air embolism, airborne contamination, wound infection, desiccation, adhesion, carbon dioxide insufflation, antiseptic agent, ethanol, humidification
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