• R Rodríguez, E Tamayo, F J Alvarez, J Castrodeza, C Lajo, and S Flórez.
• Servicio de Anestesiología y Reanimación, Hospital Clinico Universitario, Valladolid. rimatesa@terra.es
• Rev Esp Anestesiol Reanim. 2008 Dec 1; 55 (10): 605-9.

ObjectiveTo analyze the influence of early (first day) postoperative factors on postoperative course in patients who have undergone heart surgery.Patients And MethodsA cross-sectional study of consecutively enrolled heart surgery patients was designed. We recorded central venous pressure, time required for rewarming to a core temperature of 35.5degrees C, and total fluids administered in 24 hours. We then analyzed their influence on mortality and cardiac, pulmonary, and renal complications.ResultsTwo hundred thirty-six patients were included. Central venous pressure over 18 mm Hg, time to rewarming over 6 hours, and administration of more than 5 L of fluids in the first 24 hours were factors associated with increased mortality and the development of cardiovascular, pulmonary, and renal complications.ConclusionsCentral venous pressure, rewarming time, and fluid replacement volume required on the first day are predictors of postoperative course.

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