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AI InsightDeveloping the treatment strategies with consideration ofthese causes may help reduce the length of stay, morbidity, and mortality in this patient group.
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Özet
OBJECTIVES: Postoperative dyspnea is common after cardiac surgery, even in low-risk patients. Cardiac surgeons and anesthesiologistsare familiar with patients suffering from dyspnea in the early postoperative period, but in some cases, conventional treatment strategiesmay be ineffective, and a consultation with a pulmonologist may be required. The aim of this study is to investigate the causes of dyspneaafter cardiac surgery in this particular patient group.MATERIALS AND METHODS: The hospital database was searched for non-emergency cardiac surgery for the period January 2014–October2015. Individuals with an impaired spirometry result and a history of any pulmonic disease were excluded. Only patients for whoma pulmonary consultation was needed because of dyspnea in the postoperative course were enrolled in the study. Causes of dyspneawere analyzed according to consultation reports and computed tomography findings.RESULTS: One hundred and three patients were enrolled in the study. Of those, 67 (65%) were male, and the mean age was 61.50±9.43.The most common procedure was the coronary artery bypass grafting. Atelectasis (n=57, 42%) was the most common cause of dyspnea.The length of the intensive care unit (ICU) stay was significantly longer in the pneumonia group (p=0.012). Hospital mortality in thepneumonia group was significantly higher compared with other subgroups (p<0.001).CONCLUSION: After cardiac surgery, atelectasis was the most common cause of dyspnea, followed by pleural effusion and pneumonia.Patients who experienced dyspnea due to pneumonia had a longer ICU stay. Developing the treatment strategies with consideration ofthese causes may help reduce the length of stay, morbidity, and mortality in this patient group.