PubMed Health⌕ Search

Biomedical subjects

R E Alberty

Publications and source records attributed to R E Alberty.

6 recordsLinked to original sources
PubMed1983

General surgical complications after cardiopulmonary bypass surgery.

In a single institution, 142 general surgical complications were found in a total of 82 patients after 5,682 cardiac procedures. There were 54 complications in 40 patients within 6 weeks of surgery and 88 complications more than 6 weeks after surgery. There were 12 deaths in the early group and one death in the late group. The incidence of these general surgical complications was low in both the early and late groups (0.9 percent and 1.6 percent, respectively). The mortality rate of general surgical complication within the early group was 23 percent. After 6 weeks the mortality rate was less than 2 percent. Mortality was higher following valve procedures than following coronary artery bypass operations in the early period. Anticoagulation and arrhythmias were both minimal management problems after general surgical operations. The anatomic area most frequently involved was the biliary tract. Documented low cardiac output preceded many of these complications in the early group.

Adolescent↗
PubMed1981

Popliteal artery injury with fractural dislocation of the knee.

If the reviewer has learned anything from this collected series of patients, it is that aggressive management is necessary. Preoperative and especially postoperative arteriography is essential for a high limb salvage rate. The vascular repair should receive priority, and early aggressive fasciotomy may be necessary. If orthopedic repair is done first, it should be done expeditiously so as to not prolong ischemic time. External fixation is recommended in the management of associated orthopedic injury.

Amputation, Surgical↗
PubMedDate not supplied

Hickman catheter separation.

Seven patients with Hickman/Broviac catheters implanted via the percutaneous subclavian route are reported to have had catheter separation and embolization; one catheter implanted via cephalic vein cutdown also separated. The method of percutaneous subclavian catheter insertion is briefly described, and the mechanism of catheter separation is discussed. Percutaneous insertion routes the silicone catheter between the clavicle and first rib, producing compressive/shearing force which can cause the catheter to break--usually after several months. Embolized catheter fragments can be retrieved with a percutaneous transfemoral venous snare. The described complication represents a 1% incidence. Recommendations to minimize this problem include: placement of subclavian puncture at or lateral to midclavicular line; chest x-rays at 2- to 3-month intervals to identify catheter indentation at the thoracic inlet; early removal of catheters for patients with radiologic evidence of significant catheter compression.

Adult↗