Abstract

MACHIN RODRIGUEZ, Jorge Carlos; CASTILLO MARTINEZ, José Manuel  and  TORRALBAS REVERON, Fredy Eladio. Therapeutic algorithm of acute mediastinitis in cardiovascular surgery. MEDISAN [online]. 2012, vol.16, n.4, pp. 633-637. ISSN 1029-3019.

Acute mediastinitis is a complication of the heart surgery, which shows high mortality and it always requires surgical treatment, of which several therapeutic modalities exist. Decisions are complicated, for this reason the establishment of a therapeutic algorithm that allows to reduce mortality due to this complication is necessary. The great variability of the results and the spectrum of surgical techniques described on this respect, have attempted against the creation of practical guides based on the evidence for the postoperative mediastinal infection, in such way that the few algorithms that have been published are incomplete or very specific. A therapeutic algorithm is presented for the acute mediastinitis, elaborated in the Cardiology Center from Sant iago de Cuba, it is of easy application. It decreased mortality and can be applied in the rest of the centers from the country, which don't have a similar tool.

Keywords : acute mediastinitis; cardiovascular surgery; therapeutic algorithm; Cardiology Center.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )