Posterior Pericardial Drainage in Patients with Heart Surgery
Algadhi, Y., Mosa, A., Khayyat, I., Al Khalaf, M., Qadrouh, M., Mogharbel, B., Alanazi, R., Hamdan A, A., Alghamdi, K., Ghazi, M., Alghamdi, T., Alsofyani, A. (2017). Posterior Pericardial Drainage in Patients with Heart Surgery. EKB Journal Management System, 69(8), 3003-3010.
Yazid Ali M Algadhi; Abdullah Mohammed Ibrahim Mosa; Ibrahim MohammedMahdi Khayyat; Mohammed Baqer Al Khalaf; Mohammad Noor Qadrouh; Badr Fouad H Mogharbel; Raed Saleh G Alanazi; Alsuhaymi Zuhair Hamdan A; Khalid Saeed Ahmed Alghamdi; Mojahid Ibrahim H Ghazi; Tamanni Muhsen M. Alghamdi; Afnan Hedian M Alsofyani. "Posterior Pericardial Drainage in Patients with Heart Surgery". EKB Journal Management System, 69, 8, 2017, 3003-3010.
Algadhi, Y., Mosa, A., Khayyat, I., Al Khalaf, M., Qadrouh, M., Mogharbel, B., Alanazi, R., Hamdan A, A., Alghamdi, K., Ghazi, M., Alghamdi, T., Alsofyani, A. (2017). 'Posterior Pericardial Drainage in Patients with Heart Surgery', EKB Journal Management System, 69(8), pp. 3003-3010.
Algadhi, Y., Mosa, A., Khayyat, I., Al Khalaf, M., Qadrouh, M., Mogharbel, B., Alanazi, R., Hamdan A, A., Alghamdi, K., Ghazi, M., Alghamdi, T., Alsofyani, A. Posterior Pericardial Drainage in Patients with Heart Surgery. EKB Journal Management System, 2017; 69(8): 3003-3010.

Posterior Pericardial Drainage in Patients with Heart Surgery

The Egyptian Journal of Hospital Medicine
Article 10, Volume 69, Issue 8, October 2017, Page 3003-3010  XML PDF (465.49 K)
Document Type: Original Article
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Authors
Yazid Ali M Algadhi1; Abdullah Mohammed Ibrahim Mosa1; Ibrahim MohammedMahdi Khayyat2; Mohammed Baqer Al Khalaf3; Mohammad Noor Qadrouh4; Badr Fouad H Mogharbel3; Raed Saleh G Alanazi5; Alsuhaymi Zuhair Hamdan A6; Khalid Saeed Ahmed Alghamdi7; Mojahid Ibrahim H Ghazi8; Tamanni Muhsen M. Alghamdi9; Afnan Hedian M Alsofyani10
1King Khalid University
2King Saud University
3King Faisal University
4Maastricht University
5Qassim University
6Mikhwah General Hospital
7Al Baha University
8University Of Jeddah
9King Abdulaziz Hospital
10Taif University
Abstract
Aim of the Study: To assess the merits and demerits of posterior pericardial drainage in patients undergoing heart surgery.
Materials and Methods: A systematic review and meta-analysis of observational studies and randomized  controlled trials was conducted. We searched for relevant trials in the Cochrane Library, MEDLINE (from 1980), Embase from 1970 the Transfusion Evidence Library from 1980, and ongoing trial databases; all searches current to 30 September 2017.
Results: The search yielded Sixteen randomized controlled trials which included 2755 patients. Results revealed that Posterior pericardial drainage was associated with a significant 90% reduction of the odds of cardiac tamponade versus the control group: (OR 95% confidence interval) 0.13; P < 0.001. The ORs of death or cardiac arrest were significantly decreased by approximately 50% in the posterior pericardial drainage group compared to controls:  OR (95% CI): 0.47, P = .028; I2 = 0%
Conclusion: Posterior pericardial drainage has been reported in the literature to significantly reduce the prevalence of early pericardial effusion as well as cardiac tamponade. A significant enhanced survival rate was recorded  postcardiac surgery.
 
Keywords
posterior pericardiotomy; systematic review, atrial fibrillation; cardiac tamponade; coronary artery bypass grafting, pericardial effusion
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