The influence of cardiopulmonary by-pass on respiratory function in patients who underwent coronary disease surgery.
Med Arch
; 67(2): 97-100, 2013.
Article
em En
| MEDLINE
| ID: mdl-24341053
ABSTRACT
AIM:
The study is designed to show influence of cardiopulmonary by-pass (CPB) on respiratory function in patients who underwent cardiac surgery. PATIENTS ANDMETHODS:
With respect on operative technique the patients were divided into two groups consisted of 40 patients, who underwent with or without CPB. On the bases of the hemodynamic measurements and counting alveolar arterial oxygen difference (A-a)DO2, saturation of mixed venous blood (SvO2), direct intrapulmonary shunt (V/Q) and hypoxemic score (PaO2/FiO2) preoperative and postoperative respiratory function in these patients is assumed. There were one preoperative and four postoperative measurements. RESULTS ANDDISCUSSION:
Statistically significant difference is found between the examined groups between mean values of alveolar arterial oxygen difference (A-a)DO2 in three postoperative measurements (p = 0.035, p = 0.015 and p = 0.011), direct intrapulmonary shunt (V/Q) in four postoperative measurements (p = 0.037, p = 0.023, p = 0.014 and p = 0.04), saturation of mixed venous blood (SvO2) in four postoperative measurements (p = 0.01, p = 0.023, p = 0.020 and p = 0.020) and hypoxemic score (PaO2/FO2) in four postoperative measurements (p = 0.018, p = 0.028, p = 0.017 and p = 0.038). The comparative analyses of parameters of respiratory function in both groups showed increased degree of acute lung injury (ALI) in group of patients underwent CPB.CONCLUSION:
Early discovering parameters of acute lung injury in early postoperative period in patients underwent cardiac surgery with cardiopulmonary by-pass can prevent development of postoperative complications and duration of hospitalization. Key words
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Ponte Cardiopulmonar
/
Doença das Coronárias
/
Lesão Pulmonar Aguda
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article