title: [Anesthesia and post-operative intensive care in 55 patients with heart valve disease at high surgical risk. Technics and analysis of results].
abstract: Anaesthetic and Postoperative intensive Care techniques employed in 55 successive high risk surgical patients with valvular heart disease are discussed. Whereas an anaesthetic standard procedure is well established. Postoperative cardio-respiratory therapy in ICU is singularly decided on the basis of the physiological signs measured. The cardio-respiratory monitoring system at work is explained in details and a special bedside estimation of pulmonary circulation morphology is outlined. In our opinion an individualized treatment causes the post-operative recovery time to be sharply reduced. The myocardial protection during ischemic cardiac arrest has a crucial influence on the early mortality: among patients treated with Breitschneider II cardioplegic solution the early mortality is 10,8% at the lower level of the mortality range exhibited by other outstanding surgical teams.
mesh_terms: D000758:Anesthesia; D003422:Critical Care; D006349:Heart Valve Diseases / Q000601:surgery*; D006801:Humans; D011182:Postoperative Care; D011183:Postoperative Complications / Q000453:epidemiology; D012306:Risk
vernacular_title: Trattamento anestesiologico e rianimatorio di 55 pazienti affetti da cardiopatie valvolari ad alto rischio operatorio. Nostra politica ed analisi dei risultati.