Services on Demand
Revista Brasileira de Cirurgia Cardiovascular
On-line version ISSN 1678-9741
ARRUDA, Marcus Vinicius Ferraz de et al. The use of the vancomycin paste for sternal hemostasis and mediastinitis prophylaxis. Rev Bras Cir Cardiovasc [online]. 2008, vol.23, n.1, pp. 35-39. ISSN 1678-9741. http://dx.doi.org/10.1590/S0102-76382008000100007.
INTRODUCTION: Mediastinitis is one of the most feared complications for thoracic surgeons, being a significant factor in morbidity and mortality in thoracic surgery. OBJECTIVE: To find a new alternative in order to prevent mediastinitis, reducing the morbidity and mortality. METHODS: A retrospective study including 1020 patients operated between February 2002 and October 2005. Patients underwent bypass surgery and vancomycin paste was used rather than bone wax in all cases. RESULTS: Patients were followed-up for 45 months; there were only five (0.49%) cases of mediastinitis; no deaths were observed. CONCLUSION: The use of Vancomycin paste to replace bone wax proved to be a great allied to prevent mediastinitis after thoracic surgery.
Keywords : Mediastinitis [prevention & control]; Vancomycin; Cardiac surgical procedures.