[Anesthesia and post-operative intensive care in 55 patients with heart valve disease at high surgical risk. Technics and analysis of results].

Anaesthetic and Postoperative intensive Care techniques employed in 55 successive high risk surgical patients with valvular heart disease are discussed. Whereas an anaesthetic standard procedure is well established. Postoperative cardio-respiratory therapy in ICU is singularly decided on the basis of the physiological signs measured. The cardio-respiratory monitoring system at work is explained in details and a special bedside estimation of pulmonary circulation morphology is outlined. In our opinion an individualized treatment causes the post-operative recovery time to be sharply reduced. The myocardial protection during ischemic cardiac arrest has a crucial influence on the early mortality: among patients treated with Breitschneider II cardioplegic solution the early mortality is 10,8% at the lower level of the mortality range exhibited by other outstanding surgical teams.