Permissive hypoxemia permitted postoperative weaning from artificial ventilation after repair of pulmonary atresia.
Wien Klin Wochenschr
; 112(6): 293-6, 2000 Mar 24.
Article
en En
| MEDLINE
| ID: mdl-10815306
ABSTRACT
Survival after corrective surgery of pulmonary atresia was associated with low right ventricular pressure, indicating normal pulmonary vascular resistance. Therefore increased fractional inspiratory oxygen concentration, inhaled nitric oxide and intravenous prostacyclin were considered to be effective measures during postoperative intensive care. In a 20-year-old female, conduit repair and unifocalisation of pulmonary atresia with ventricular septal defect and systemic to pulmonary arterial collaterals were performed despite preexisting one-sided pulmonary hypertension. During the following postoperative period, normal arterial oxygen saturation aimed at by means of a high fractional inspiratory oxygen concentration, resulted in persistent pulmonary oedema despite fluid restriction. After several trials of weaning from artificial ventilation, permissive hypoxemia was eventually successful.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Desconexión del Ventilador
/
Atresia Pulmonar
/
Hipoxia
Tipo de estudio:
Etiology_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Wien Klin Wochenschr
Año:
2000
Tipo del documento:
Article
País de afiliación:
Austria