A retrospective audit of the clinical value of routine chest radiographs in the first 24 hours after cardiac surgery using medical records

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dc.contributor.advisorVisu, Danielaen_ZA
dc.contributor.authorNyoka-Mokgalong, Simangele Ceciliaen_ZA
dc.date.accessioned2016-07-25T11:26:33Z
dc.date.available2016-07-25T11:26:33Z
dc.date.issued2016en_ZA
dc.description.abstractRoutine postoperative chest radiography after cardiac surgery is a common practice, although studies, both prospective and retrospective, conducted in their majority outside Africa, have shown that these chest radiographs are of low clinical value, mainly due to limited impact on patient management. Following cardiac surgery and admission to ICU, chest radiographs are obtained in order to ensure proper position of all invasive devices such as endotracheal tubes, invasive catheters as well as nasograstric tubes, and to exclude possibility of a pneumothorax, atelectasis, infiltrates, and other potential respiratory complications associated with ventilatory support. Following cardiac surgery, there are other elements that require assessment: mediastinum (for widening due to bleeding), pleural space (for presence of fluid or air) and cardiovascular system (for presence of signs of failure). Specific to cardiac surgery is the post-operative pulmonary dysfunction (PPD), where systemic inflammatory response due to cardiopulmonary bypass is the main culprit [Milot J et al, 2001] - leading to acute lung injury. Over and above the usual cardiovascular diseases that require surgical intervention, in Sub-Saharan Africa, inflammatory and infective conditions such as pulmonary tuberculosis, pulmonary hydatid disease, and pulmonary complications of HIV infection, are very prevalent. These pre-existing lung pathologies predispose patients to postoperative pulmonary complications after cardiac surgery. This audit investigates the role and importance of bedside chest X-rays in post operative care of cardiac surgery patients that come from a population group where lung pathology is quite prevalent.en_ZA
dc.identifier.apacitationNyoka-Mokgalong, S. C. (2016). <i>A retrospective audit of the clinical value of routine chest radiographs in the first 24 hours after cardiac surgery using medical records</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Anaesthesia. Retrieved from http://hdl.handle.net/11427/20682en_ZA
dc.identifier.chicagocitationNyoka-Mokgalong, Simangele Cecilia. <i>"A retrospective audit of the clinical value of routine chest radiographs in the first 24 hours after cardiac surgery using medical records."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Anaesthesia, 2016. http://hdl.handle.net/11427/20682en_ZA
dc.identifier.citationNyoka-Mokgalong, S. 2016. A retrospective audit of the clinical value of routine chest radiographs in the first 24 hours after cardiac surgery using medical records. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Nyoka-Mokgalong, Simangele Cecilia AB - Routine postoperative chest radiography after cardiac surgery is a common practice, although studies, both prospective and retrospective, conducted in their majority outside Africa, have shown that these chest radiographs are of low clinical value, mainly due to limited impact on patient management. Following cardiac surgery and admission to ICU, chest radiographs are obtained in order to ensure proper position of all invasive devices such as endotracheal tubes, invasive catheters as well as nasograstric tubes, and to exclude possibility of a pneumothorax, atelectasis, infiltrates, and other potential respiratory complications associated with ventilatory support. Following cardiac surgery, there are other elements that require assessment: mediastinum (for widening due to bleeding), pleural space (for presence of fluid or air) and cardiovascular system (for presence of signs of failure). Specific to cardiac surgery is the post-operative pulmonary dysfunction (PPD), where systemic inflammatory response due to cardiopulmonary bypass is the main culprit [Milot J et al, 2001] - leading to acute lung injury. Over and above the usual cardiovascular diseases that require surgical intervention, in Sub-Saharan Africa, inflammatory and infective conditions such as pulmonary tuberculosis, pulmonary hydatid disease, and pulmonary complications of HIV infection, are very prevalent. These pre-existing lung pathologies predispose patients to postoperative pulmonary complications after cardiac surgery. This audit investigates the role and importance of bedside chest X-rays in post operative care of cardiac surgery patients that come from a population group where lung pathology is quite prevalent. DA - 2016 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - A retrospective audit of the clinical value of routine chest radiographs in the first 24 hours after cardiac surgery using medical records TI - A retrospective audit of the clinical value of routine chest radiographs in the first 24 hours after cardiac surgery using medical records UR - http://hdl.handle.net/11427/20682 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/20682
dc.identifier.vancouvercitationNyoka-Mokgalong SC. A retrospective audit of the clinical value of routine chest radiographs in the first 24 hours after cardiac surgery using medical records. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Anaesthesia, 2016 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/20682en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Anaesthesiaen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherAnaesthesiaen_ZA
dc.titleA retrospective audit of the clinical value of routine chest radiographs in the first 24 hours after cardiac surgery using medical recordsen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMeden_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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