PROPOSED SOLUTION TO DELAYED STERNAL CLOSURE: CARDIAC CORSET
CCCF ePoster library. Drouillard B. Oct 26, 2015; 114779; P42 Disclosure(s): Nothing to disclose
Brenda Drouillard
Brenda Drouillard
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Abstract
Rate & Comment (0)
P42


Topic: Quality Assurance/Quality Improvement Project


PROPOSED SOLUTION TO DELAYED STERNAL CLOSURE: CARDIAC CORSET         Brenda Drouillard RN, Cecilia St. George-Hyslop RN M Ed, Claire Watt RN M ScN, Lynsey Mcmullin RN Labatt Family Heart Centre, the Hospital for Sick Children, Toronto, Canada



Brenda Drouillard, C. Hyslop, C. Watt

Cardiac Critical Care Unit, Labatt Family Heart Centre, The Hospital for Sick Children,, Toronto, Canada | Cardiac Critical Care, Hospital for Sick Children, Toronto, Canada | Cardiac Critical Care, Hospital for SickKids, Toronto, Canada

Introduction:


Delayed sternal closure (DSC) is a challenge in post-operative complex cardiac surgical patients. Management inevitably leads to third space fluid, and DSC. This may negatively impact outcomes: infection, skin breakdown, increased intensive care stay.

For many patients, DSC can be achieved within days of surgery after diuresis and appropriate cardiovascular support. For a subset of patients, closure may be delayed because of persistent anasarca, impaired ventilation and/or cardiac output. With prolonged opening of the sternum, the costo-vertebral angle is altered along with the conical shape of the chest, further limiting space in the anterior mediastinum with approximation of sternal edges. A method of sternal stretch and suspension with suture is at times utilized to facilitate gradual sternal approximation.




Objectives: This presentation will:
- highlight an innovative device that may be helpful in decreasing thoracic edema, allowing for earlier chest closure
- present care management guidelines when using this device


Methods:

This poster introduces a new and novel external slow closure device, “cardiac corset” (CC), designed to facilitate successful sternal closure as an alternate strategy. The cardiac corset helps to gradually approximate the sternum by manipulating/compressing edema along the chest wall/flank.

Designed for 2-4kg neonates, the corset with hook and loop fasteners, has evolved, tailoring for functionality. The cm markings on the Velcro guide approximation, and plastic rings on the front allow for an alternative to sternal stretch and suture suspension.



Results:

The cardiac corset was designed and is used to facilitate earlier chest closure. No skin breakdown has been noted. CC is easy to apply/remove, and provides a more objective measurement of sternal approximation and closure.



Conclusion:

The cardiac corset is an innovative device that may facilitate earlier chest closure.



References: Novel innovative device - thoracic corset
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.


Save Settings