Ayong Hilary Gah, Charles Mvondo, Jean claude Ambassa, Fanka Marcel, Flora Fondjio, Cabral Tantchou.

Authors’ affiliations: Cardiac Centre - Saint Elizabeth Catholic General Hospital Shisong

Corresponding author: Ayong Hilary Gah, Tel: (+237) 67-64-10-307, Email: Cette adresse e-mail est protégée contre les robots spammeurs. Vous devez activer le JavaScript pour la visualiser.

Abstract

Background: Diabetes and hypertension are among the leading causes of death worldwide, the course of management is long term and challenging especially with chronic cases. The main objective of the study is to show the perioperative challenge of managing a case of CABG associated with Diabetes and hypertension. Sharing the challenges, experiences and managing strategies can never be undermined but stands as a way for progressive future positive outcomes.

Method: A progressive follow up of a 48 years old female patient with the diagnosis of coronary artery disease, sequential follow up from the pre-operative ward, theatre, intensive care and discharge done with special focus on the intra operative management of Diabetic crisis.

Results: 603 operations were performed by Cardiac center Shisong from 2011-2017. From the total, 19(3.2%) were coronary CABG. Out of the CABG cases 1 (5.3%) was having diabetes and hypertension as part of the diagnosis. Despite the diabetic challenge and daily dressings of the case, wound healed by second intention and pharmacological management proceeded as per protocol on discharge.

Conclusion: Managing hypertension and diabetes is long term but becomes challenging when it has to do with cases undergoing open heart surgery. Team work, strict drug management and dressing techniques are indicators for success.

Key words: Nursing case study, Perioperative, Diabetes Mellitus 2, CABG