Research Article
Predicting of Early Cardiovascular Complications After Coronary Artery Bypass Graft Surgery
Maksimovich Yelizaveta*
Issue:
Volume 6, Issue 1, March 2025
Pages:
1-4
Received:
24 December 2024
Accepted:
16 January 2025
Published:
21 March 2025
Abstract: Reconstructive heart surgeries, like coronary artery bypass grafting (CABG), carry a risk of significant complications, including death. These complications encompass a range of cardiovascular issues, including CABG-related myocardial infarction, worsening heart failure, arrhythmias. This study aimed to develop a method for predicting these early postoperative complications in patients undergoing CABG. The prediction model was based on the relationship between hemolysis, changes in iron levels, markers of oxidative stress, and nitric oxide levels. The study's approach draws upon earlier investigations, which looked at the relationship between complications following CABG and: intraoperative hemolysis, changes in iron transport and storage, oxidative stress levels, and stable nitric oxide metabolites. This research built on that foundation to create a more comprehensive understanding and prediction method. This study employed a multi-faceted approach to investigate the relationship between intraoperative hemolysis and the development of early postoperative cardiac complications after CABG. A total of 123 patients with coronary artery disease (CAD), who underwent CABG, were categorized into three groups based on the degree of IOH, measured by free hemoglobin (Hb) levels in blood plasma at the conclusion of the CABG procedure using a Неmo Cue Plasma/Low Hb analyzer. Groups were: no significant intraoperative hemolysis (n=43), low intraoperative hemolysis (n=42), and high intraoperative hemolysis (n=38).
Abstract: Reconstructive heart surgeries, like coronary artery bypass grafting (CABG), carry a risk of significant complications, including death. These complications encompass a range of cardiovascular issues, including CABG-related myocardial infarction, worsening heart failure, arrhythmias. This study aimed to develop a method for predicting these early p...
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Case Report
Management of Chronic Pain in Multiple Myeloma
Princess Busisiwe Siphiwe Mbatha*
Issue:
Volume 6, Issue 1, March 2025
Pages:
5-9
Received:
10 September 2024
Accepted:
2 December 2024
Published:
14 May 2025
DOI:
10.11648/j.wjmcr.20250601.12
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Abstract: Background: Multiple Myeloma is almost often discovered when a patient has abnormal blood and urine specimen results. Patients presenting with chronic bone pain as well as anemia are always suspicious of multiple myeloma. Also pathological as well as general fatigue will always be suspicious of this condition. The duties of nursing team when caring for a multiple myeloma includes but not limited to formulating a Nursing Care Plan by creating a nursing diagnosis for chronic pain, impaired physical mobility and anxiety related to this new diagnosis and its prognosis. It is important to mention that like with most orthopedic conditions; chronic pain cannot necessarily be resolved within 30 minutes of administration of analgesia. These patients benefit immensely through the collaboration of the members of the multidisciplinary team. Methods: A case study was conducted when doing this research about Multiple Myeloma. Patient first presented at a Johannesburg Hospital in a trauma Casualty Department. Patient met with the researcher in an orthopedic ward in June 2024. Data was collected through interviews, observation and comprehensive physical examination of an orthopedic patient. Attending orthopedic surgeons, palliative team, dietician, physical therapists as well medical oncologists were also interviewed. Conclusion: Nursing problems were only resolved after almost two months of admission. The patient’s pain intensity was reduced from7/10 to 3/10 on a pain scale after bilateral femur nailing and the adjustment of analgesics from Tramadol to morphine sulphate. The patient also benefited from palliative care counselling as well as chemotherapy.
Abstract: Background: Multiple Myeloma is almost often discovered when a patient has abnormal blood and urine specimen results. Patients presenting with chronic bone pain as well as anemia are always suspicious of multiple myeloma. Also pathological as well as general fatigue will always be suspicious of this condition. The duties of nursing team when caring...
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