Paraplegia, one of the most significant postoperative complications for patients undergoing thoracic and thoracoabdominal aortic aneurysm surgery, results from too little perfusion to the spinal nerves.1,2 Time with an aortic cross-clamp in place, hypothermia, and reperfusion injury are a few of the contributing factors. Wan et al3 reported that the risk of paraplegia with reconstructive surgery ranges between 5% and 40%, and potential improvements are achieved with distal aortic perfusion techniques and cerebrospinal fluid (CSF) drainage. Safi et al4 proposed a 16% to 31% risk of paraplegia with high-risk thoracoabdominal aortic aneurysm repair. This risk can increase to 50% with a cross-clamp in place longer than 45 minutes.4 The risk with thoracic endovascular repair is much lower at 1.5%, although that risk increases to 2.88% when protocols are not used, and to 5.6% when protocols are applied...
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In Our Unit| December 01 2020
Lumbar Drains After Cardiac Surgery: Evidence-Based Solutions for Safe Management
Linda Ann Currie, MSN, RN, ACNS-BC, CCRN-CSC, WTA
Linda Ann Currie is a clinical nurse specialist in the cardiac surgery intensive care unit at the Virginia Commonwealth University Health System, Richmond, Virginia.
Corresponding author: Linda Ann Currie, MSN, RN, ACNS-BC, CCRN-CSC, WTA, Cardiac Surgery Intensive Care Unit, Virginia Commonwealth University Health System, 1250 East Marshall St, Richmond, VA 23298 (email: firstname.lastname@example.org).
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Crit Care Nurse (2020) 40 (6): 75–80.
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Linda Ann Currie; Lumbar Drains After Cardiac Surgery: Evidence-Based Solutions for Safe Management. Crit Care Nurse 1 December 2020; 40 (6): 75–80. doi: https://doi.org/10.4037/ccn2020684
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