Delayed Sternal Closure? - page 3
by TX911 4,587 Views | 21 Comments
Does anyone have sort of experience with delayed closure following open chest procedures? I just have a few questions. Is the retractor from surgery still left in place? Is there some sort of chest binder used? Can I get some... Read More
- 0Feb 28, '13 by dah dohI've had many patients with open chests, but only one with the retractor left in place. That patient's surgery was over 12 hr long...No bueno! I think he probably died a few times on the table. The hand off report was "when he dies, make sure we get our retractor back"; the O.R. team ran away quickly after dropping him off in ICU. Luckily they were wrong and the patient recovered! As to not turning: the surgeon writes orders to not turn the patients with open chests...3 days later after closure when we are finally allowed to turn them there's a pressure ulcer.