Sternal precautions: is it time for change? Precautions versus restrictions-a review of literature and recommendations for revision

LP Cahalin, TK LaPier, DK Shaw - … physical therapy journal, 2011 - journals.lww.com
The processes that occur with normal sternal healing and potential complications related to
median sternotomy are of particular interest to physical therapists. The premise of patients …

Risk factors for sternal complications after cardiac operations: a systematic review

S Balachandran, A Lee, L Denehy, KY Lin… - The Annals of thoracic …, 2016 - Elsevier
Early detection of patients at risk of sternal complications is essential to facilitate prevention
and optimize timely intervention. A systematic review and meta-analysis was conducted to …

[HTML][HTML] Physiotherapy-supervised mobilization and exercise following cardiac surgery: a national questionnaire survey in Sweden

E Westerdahl, M Möller - Journal of cardiothoracic surgery, 2010 - Springer
Background Limited published data are available on how patients are mobilized and
exercised during the postoperative hospital stay following cardiac surgery. The aim of this …

Postoperative critical care of the adult cardiac surgical patient: Part II: Procedure-specific considerations, management of complications, and quality improvement

RS Stephens, GJR Whitman - Critical care medicine, 2015 - journals.lww.com
Objectives: The armamentarium of cardiac surgery continues to expand, and the cardiac
intensivist must be familiar with a broad spectrum of procedures and their specific …

[HTML][HTML] Reduction in incidence of deep sternal wound infections: random or real?

E Matros, SF Aranki, LR Bayer, S McGurk… - The Journal of thoracic …, 2010 - Elsevier
OBJECTIVE: Comorbidities predisposing cardiac surgical patients toward deep sternal
wound infection, such as diabetes and obesity, are rising in the United States. Longitudinal …

Precautions related to midline sternotomy in cardiac surgery: a review of mechanical stress factors leading to sternal complications

BC Brocki, CB Thorup… - European journal of …, 2010 - journals.sagepub.com
Background: After midline sternotomy patients are instructed on activity precautions to avoid
sternal wound complications. We questioned how restrictive these precautions must be …

Recent developments in controlling sternal wound infection after cardiac surgery and measures to enhance sternal healing

A Pradeep, J Rangasamy… - Medicinal research …, 2021 - Wiley Online Library
One of the major risks of cardiac surgery is the occurrence of infection at the sternal wound
site. Sternal wound infections are primarily classified into superficial infection and deep …

An alternative approach to prescribing sternal precautions after median sternotomy,“Keep Your Move in the Tube”

J Adams, A Lotshaw, E Exum, M Campbell… - Baylor University …, 2016 - Taylor & Francis
Traditional sternal precautions, given to sternotomy patients as part of their discharge
education, are intended to help prevent sternal wound complications. They vary widely but …

An evidence-based perspective on movement and activity following median sternotomy

D El-Ansary, TK LaPier, J Adams, R Gach… - Physical …, 2019 - academic.oup.com
Cardiac surgery via median sternotomy is performed in over 1 million patients per year
worldwide. Despite evidence, sternal precautions in the form of restricted arm and trunk …

Physical therapy management for adult patients undergoing cardiac surgery: a Canadian practice survey

TJ Overend, CM Anderson, J Jackson… - Physiotherapy …, 2010 - utpjournals.press
ABSTRACT Purpose: To determine current Canadian physical therapy practice for adult
patients requiring routine care following cardiac surgery. Methods: A telephone survey was …