[The management of mediastinal infection following cardiac surgery. Role of the reanimation and of hyperalimentation (author's transl)].
Apprehended complication of the cardiac surgery by median sternotomy, the mediastinitis leads very often to a high death rate, a long hospital-treatment, frequent and sometimes serious sequelae. Considering eleven cases, we are trying to show the interest brought by the choice of the immediate thorax-closing method, in so far as this technic is associated with a correct disinfection of the mediastin a good irrigation-drainage properly well-maintained and overseen, a reanimation technic the main purpose of which is to assure a sufficient caloric and nitrogenous supply.
D000208:Acute Disease; D000368:Aged; D006348:Cardiac Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D002404:Catheterization; D002648:Child; D004322:Drainage; D004750:Enteral Nutrition; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000209:etiology / Q000628:therapy*; D008875:Middle Aged; D010289:Parenteral Nutrition, Total; D011182:Postoperative Care; D011300:Preoperative Care; D007507:Therapeutic Irrigation
Traitement des médiastinites suppurées aiguës dans les suites de la chirurgie cardiaque. Rôle de la réanimation et de l'hyperalimentation.