کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2760099 1150166 2011 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Prophylaxis Against Atrial Fibrillation After Cardiac Surgery: Effective, But Not Routinely Used—A Survey of Cardiothoracic Units in the United Kingdom
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Prophylaxis Against Atrial Fibrillation After Cardiac Surgery: Effective, But Not Routinely Used—A Survey of Cardiothoracic Units in the United Kingdom
چکیده انگلیسی

ObjectiveTo establish whether international recommendations on chemoprophylaxis against postoperative atrial fibrillation in cardiac surgery patients are implemented locally in cardiothoracic units in the United Kingdom; to determine which drugs are being used, how long they are given, and whether outcomes are monitored.DesignSurvey of local cardiothoracic center guidelines.SettingPostal and telephone survey.ParticipantsSenior anesthesiologists and critical care staff in all 37 public cardiothoracic units in the United Kingdom.InterventionNone.Measurements and Main ResultsResults were obtained from all contacted cardiothoracic units. Five units (14%) have local guidelines for chemoprophylaxis against atrial fibrillation in place. All use β-antagonists as their primary prophylactic drugs; only one unit uses amiodarone as a secondary prophylactic drug. Duration of prophylactic treatment varies, from 5 days to 6 weeks postoperatively. Thirty-two units (86%) have no local guidelines for chemoprophylaxis in place.ConclusionChemoprophylaxis against postoperative atrial fibrillation in cardiac surgery patients remains underused, despite its effectiveness and recommendations for its routine use by several international organizations.Departmental guidelines help to ensure routine use, but this survey shows that so far only a minority of cardiothoracic units in the United Kingdom have implemented such guidelines. Awareness of the advantages of routine prophylaxis against atrial fibrillation should be improved and departmental prescribing policies encouraged.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cardiothoracic and Vascular Anesthesia - Volume 25, Issue 1, February 2011, Pages 90–94
نویسندگان
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