Journal of the West African College of Surgeons
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J West Afr Coll Surg · Oct 2011
Intra-aortic balloon pump in coronary artery bypass graft - factors affecting outcome.
The management of coronary artery bypass graft (CABG) patients, especially in high risk patients ,can be challenging as the postoperative periods may be characterized by a low cardiac output state. Inotropes used in the perioperative periods to increase cardiac output may be detrimental thus making the use of mechanical devices like intra-aortic Balloon pump (IABP) for circulatory assistance desirable. ⋯ Early institution of intra-aortic balloon pump gives a better outcome even in high risk coronary artery bypass graft patients as it reduces ICU stay and mortality, and elevated post-insertion creatinine levels has been shown to be an indicator of impending mortality and so an early warning for putting in place mitigating protocols.
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Spinal anaesthesia is the preferred regional technique for Caesarean section but failure sometimes occurs. ⋯ Spinal anaesthesia conversion rate is high in this study when compared with reports from developed countries. Adequate training for residents in anaesthesia will decrease the failure rate. Parturients undergoing sterilization during Caesarean section may require supplementary analgesia.