The haemodynamic status of cardiac surgical patients in the initial 2-h recovery period

Currey, Judy and Botti, Mari 2005, The haemodynamic status of cardiac surgical patients in the initial 2-h recovery period, European journal of cardiovascular nursing, vol. 4, no. 3, pp. 207-214.

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Title The haemodynamic status of cardiac surgical patients in the initial 2-h recovery period
Author(s) Currey, Judy
Botti, Mari
Journal name European journal of cardiovascular nursing
Volume number 4
Issue number 3
Start page 207
End page 214
Publisher Elsevier BV
Place of publication Amsterdam, Netherlands
Publication date 2005-09
ISSN 1474-5151
1873-1953
Keyword(s) haemodynamic phenomena
critical care
cardiac surgery
bleeding; Induced hypothermia
Summary Background
Critical care nurses caring for cardiac patients in the immediate postoperative period continually make decisions about the implications and treatment of their patients' haemodynamic status.

Aim
The aim of this study was to describe the haemodynamic status of patients on admission to critical care and over the 2-h period following cardiac surgery.

Methods
A quantitative, descriptive design was used. Data were collected using non-participant observation and an observation tool. The sample consisted of 38 patients.

Results
Analysis of data revealed the dynamic nature of the haemodynamic status of postoperative cardiac patients. On admission, 60% of patients (n = 23) were haemodynamically unstable. The instability in these patients (n = 23) was due to hypotension (34%), bleeding (21%) and hypoxaemia (18%). During the 2-h recovery period, 55% of patients were hypotensive, 16% of patients had low cardiac output syndrome and 16% of patients had low systemic vascular resistance (SVR) syndrome. Twenty-one percent of patients experienced bleeding complications. Shivering was a clinically significant problem in terms of occurrence (23%) and duration (X = 45, S.D. = 30 min). Twenty-nine percent of patients (n = 11) had a profound deterioration in haemodynamic status, necessitating urgent interventions.

Conclusion
Haemodynamic parameters indicate that 95% of patients in this study were haemodynamically unstable at some time during the initial 2-h recovery period. These findings inform resourcing decisions by organisations and have implications for nurses' assessment and interventional haemodynamic decision making.
Language eng
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2005, Elsevier B.V.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30003448

Document type: Journal Article
Collections: School of Nursing and Midwifery
Higher Education Research Group
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