BIẾN CHỨNG SẢNG SAU PHẪU THUẬT TIM

Abstract

Objectives: Analyse clinical features of postoperative delirium (POD) after cardiac surgery in intensive care unit (ICU), relationship between POD development and causative factors and time of mechanical ventilation, ICU length of stay (LOS). Subjects and methods: A prospective, descriptive, longitudinal follow-up on 61 after cardiac-surgery patients. According to the protocol and screening for delirium, resuscitation was performed using the Confusion Assessment Method for the ICU (CAM-ICU) every day. Data were coded and analyzed by statistical methods. Results: POD occurred in 14 patients (22.95%), common in the group of surgery combined with coronary artery bypass grafting (CABG) and valve replacement/repair (33.33%). Mixed delirium accounted for the majority (57.14%). Using fluoroquinolone percentage of POD. Delirium complications increase the time of mechanical ventilation, ICU length of stay (LOS). Conclusions: Delirium is common in cardiac surgery patients and increases with age. Using Fluoroquinolone, acute kidney injury were associated with in POD. Delirium was prolongation of the time of mechanical ventilation, intensive care unit length of stay.