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Central venous pressure, rewarming time, and total fluid replacement volume are predictors of mortality and complications after cardiac surgery

, : Central venous pressure, rewarming time, and total fluid replacement volume are predictors of mortality and complications after cardiac surgery. Revista Espanola de Anestesiologia Y Reanimacion 55(10): 605-609

To analyze the influence of early (first day) postoperative factors on postoperative course in patients who have undergone heart surgery. A cross-sectional study of consecutively enrolled heart surgery patients was designed. We recorded central venous pressure, time required for rewarming to a core temperature of 35.5degrees C, and total fluids administered in 24 hours. We then analyzed their influence on mortality and cardiac, pulmonary, and renal complications. Two hundred thirty-six patients were included. Central venous pressure over 18 mm Hg, time to rewarming over 6 hours, and administration of more than 5 L of fluids in the first 24 hours were factors associated with increased mortality and the development of cardiovascular, pulmonary, and renal complications. Central venous pressure, rewarming time, and fluid replacement volume required on the first day are predictors of postoperative course.


PMID: 19177861

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