Doctor insights on:
Medically Induced Coma After Heart Surgery
Mother 58 years. Heart attack (ami) followed by ptca and cardiac arrest. Discharged 5 days earlier.Ef = 52%.Will she take full bed rest? Any risk ?
Open intervention on the heart to correct congenital cardiac anomalies, repair replace heart valves, ascending aortic dissection repair, coronary bypass, heart transplant, surgical removal of heart tumors, ventricular assist devices, cox maze procedures to cure atrial fibrillation, repair of trauma to the heart. Repair of iatrogenic injuries to heart, heart-lung ...Read more
When someone is resuscitated after cardiac arrest, is consciousness regained immediately? Or could it take any longer?
Usually not....: after someone suffers cardiac arrest, resuscitation is attempted. If successful, the person usually does not regain consciousness immediately. It usually takes time for the person to wake up and the amount of time it takes is very variable. It's not like what you see on tv or in the movies!!!! ...Read more
Vasovagal attack during surgery caused cardiac arrest. Doctors want to attempt another laparoscopic to remove gallbladder ? Chances of arrest again ?
What would cause a severe headache located behind the left ear at the base of the skull. Pain meds haven't helped. Now what? Medical history: heart surgery, diabetic, high blood pressure
Headaches : Headaches and their causes can be complicated, difficult diagnoses to make. With your past history of diabetes and high blood pressure, you should make an appointment with your doctor for a complete evaluation as soon as possible. You doctor will take a thorough history and do a neurological evaluation to try and find out what is causing your symptoms. You may want to think about the answers to some of the questions they may ask you such as: - when did it start? - how often do they happen? - are they getting more frequent or more painful? - how long do they last? - what does the headache feel like and can you point to it? - does it occur around the same time at night or does it ever happen during the day? - what other symptoms do you have and when do they occur in regards to the headache? - have you had any big life changes? - how is your lifestyle? Are you getting enough sleep, eating well, exercising? - are you taking any medications? Do you drink caffeine and how much? Answering these questions may help your doctor figure out what is causing your headaches, whether it is a serious problem or not, and how to help you. Good luck! ...Read more
Very rare: Complications from cholecystectomy include wound infection, bleeding/hematoma, bile duct injury with bile leak and intra-abdominal abscess. Late complications include retained gallbladder stones, bile duct stricture and incisional hernia. Death is very rare, and is mostly related to overall physical condition of the patient (e.g. Other medical problems and whether surgery was an emergency). ...Read moreSee 1 more doctor answer
Why induce coma: 33F asks why put a pt in a medical induced coma after triple bypass surgery. Many reasons but first would be suspect brain injury due to low BP during surgery and want to protect brain. First ask the person's team why? And go to ScientificAmerican.com and look at What is a Medically induced Come and why is it use? B David Biello Jan 10, 2011. ...Read more
What are the risk factors of a 58 years female patient who survived from massive heart attack (ami) followed by angioplasty (ptca) and cardiac arrest?
AMI: Those questions need to be asked of the patient's physicians. In general what you describe suggests serious damage was likely done during the heart attack, but that can't be known from here. The state of the coronary bed and the myocardial function likewise. Best to discuss with the physician(s) who know this patient best rather than generalize. ...Read more
Generally not: It depends on the specific situation, but if the brain has been deprived of oxygen for more than 12 to 14 minutes, the damage is (usually) at least partly irreversible. A relatively new technique called therapeutic hypothermia improves the statistics somewhat, but the outcomes for many patients are still poor. ...Read moreSee 1 more doctor answer
Depends: Most pts have there asthma controlled and have infrequent episodes . These pts do well post op. The more brittle asthmatics may require more agressive pulmonary toilet post op. They may require IV steroids and breathing treatments . They may not tolerate the beta blockers that are used . Despite this even difficult asthmatic pts do well they may need a little longer recovery time ...Read more
Can CHF develop a year after heart surgery? Left atrium was re-constructed due to cardiac paraganglioma.
Sometimes: Although many patients experience some effects on the brain as the result of cardiac bypass, personality changes are not particularly common. The most common changes require sophisticated neuropsychological testing to detect. Drugs and unanticipated adverse outcomes can also affect personality following surgery. Off pump surgery has been touted as a solution, however this has not been born out. ...Read moreSee 2 more doctor answers
Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?
When can patients resume their activities after aortic aneurysm repair surgery using deep hypothermic circulatory arrest technique?
Surgical approach?: The incision used will dictate activity rather than the use of dhca. I would assume you had a sternotomy (through the breastbone). You should lift no more than 5-10# for 2-3 months until the underlying bone heals, after which you should be able to resume normal activity. Have this discussion with your surgeon who should outline the plan for return to full activity. ...Read moreSee 1 more doctor answer
66yr/ m congestive heart failure, stroke, pulmonary embolism, then 2nd massive hemorrhagic stroke, surgery to repair, fell into coma. prognosis?
How long can an individual who's had a total thyroidectomy go without any thyroid medicine before having organ failure, myxedema coma, etc.?
Low thyroid surgery: F of unknown age or medical Hx asks: How long can an individual who's had a total thyroidectomy go without any thyroid medicine before having organ failure, myxedema coma, etc.? ANS: low thyroid is evident by 4-6 weeks. It may take months to develop myxedema and its complications. ...Read more
Post 3 catheter ablations,2nd interrupted due to pericardial effusion. 3rd nearly eliminated Afib, still vagal induced SVT, meals, or position. Ideas?
Cardiac arrest: When you have cardiac arrest you are dead. Induced coma is done only when you are alive. As such it isn't a treatment for cardiac arrest. If a patient happens to be resuscitated from cardiac arrest, inducing coma can be a consideration to hope the brain will recover with less metabolic demand on it. It isn't done regularly. We are considering if cooling post arrest survival is as useful as thought ...Read more
Hypothetically (although dangerous) can an alcohol induced coma terminate a grand mal seizure just like an induced coma with propofol?
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