dc.contributor.author | Kitsao, Joyce J | |
dc.date.accessioned | 2013-05-23T15:17:30Z | |
dc.date.available | 2013-05-23T15:17:30Z | |
dc.date.issued | 2003 | |
dc.identifier.citation | Master Of Medicine In Anaesthesia, The University Of Nairobi, 2003 | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/25027 | |
dc.description.abstract | The advent of cardiopulmonary bypass (CPB) has revolutionised cardiac surgery over
the past three decades. CPB has come to be appreciated as an essential component of
cardiac surgery, facilitating operations in a bloodless and still field. The procedure itself
is however fraught with complications. Several studies done have detailed such
complications and highlighted methods of avoiding the same, ultimately aiming at
improving morbidity and mortality-associated with cardiac surgery in general and
CPB in particular. This has led to alterations and improvements in designs of the various
implements utilised in CPB, contributing to the dynamism characteristic of the
medical field.
Through a prospective analytical study, this research aims to document complications
associated with CPB, as applied during cardiac surgery, at the Kenyatta National
Hospital, over a one-year period, from February 2002 to February 2003. Sources of
data include intra-operative and post-operative patient records. Interpretation of the
results and significance of the same is done using statistical inference methods.
The overall objective of the study has been to identify shortfalls of CPB during
cardiac surgery and to suggest possible improvements to the mortality and morbidity
associated with CPB, as well as improving outcome an:' reducing costs. While performance
at KNH largely compares favourably to other centres worldwide as depicted
in the discussion on mortality and morbidity, there are some areas where complications
are occasioned by lack of materials necessary or useful in the conduct of cardiopulmonary
bypass, and in the subsequent management of patients undergoing cardiac
surgery. An attempt has been made to identify possible improvement strategies. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi. | en |
dc.title | Complications associated with cardiopulmonary bypass for open heart surgery: prospective study, Kenyatta National Hospital, February 2002-February 2003 | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | Faculty of Medicine | en |