Postoperative Pulmonary Dysfunction and Mechanical Ventilation in Cardiac Surgery
Joint Authors
Badenes, Rafael
Lozano, Angels
Belda, F. Javier
Source
Critical Care Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-03
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Postoperative pulmonary dysfunction (PPD) is a frequent and significant complication after cardiac surgery.
It contributes to morbidity and mortality and increases hospitalization stay and its associated costs.
Its pathogenesis is not clear but it seems to be related to the development of a systemic inflammatory response with a subsequent pulmonary inflammation.
Many factors have been described to contribute to this inflammatory response, including surgical procedure with sternotomy incision, effects of general anesthesia, topical cooling, and extracorporeal circulation (ECC) and mechanical ventilation (VM).
Protective ventilation strategies can reduce the incidence of atelectasis (which still remains one of the principal causes of PDD) and pulmonary infections in surgical patients.
In this way, the open lung approach (OLA), a protective ventilation strategy, has demonstrated attenuating the inflammatory response and improving gas exchange parameters and postoperative pulmonary functions with a better residual functional capacity (FRC) when compared with a conventional ventilatory strategy.
Additionally, maintaining low frequency ventilation during ECC was shown to decrease the incidence of PDD after cardiac surgery, preserving lung function.
American Psychological Association (APA)
Badenes, Rafael& Lozano, Angels& Belda, F. Javier. 2015. Postoperative Pulmonary Dysfunction and Mechanical Ventilation in Cardiac Surgery. Critical Care Research and Practice،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1057634
Modern Language Association (MLA)
Badenes, Rafael…[et al.]. Postoperative Pulmonary Dysfunction and Mechanical Ventilation in Cardiac Surgery. Critical Care Research and Practice No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1057634
American Medical Association (AMA)
Badenes, Rafael& Lozano, Angels& Belda, F. Javier. Postoperative Pulmonary Dysfunction and Mechanical Ventilation in Cardiac Surgery. Critical Care Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1057634
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1057634