Gasometria arterial em dois diferentes métodos de transporte intra-hospitalar no pós-operatório imediato de cirurgia cardíaca

Lima, Newton Almeida; Bacelar, Sílvia Correa; Japiassú, André Miguel; Cader, Samária Ali; Lima, Rosane Coelho Fernandes; Dantas, Estélio Henrique Martín; Sancho, Alexandre Gomes; Caldeira, Jefferson Braga

doi:10.1590/s0103-507x2012000200011

Cited by 3 publications

(5 citation statements)

References 21 publications

(22 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although there was a higher number of patients in the group of survivors, this may reduce the value of our results. However, even with the theoretical disadvantage of the non-survivors, there was a lower incidence of blood gas alterations in this group 4,24 .…”

Section: Variablesmentioning

confidence: 62%

“…The statistical significance of the variable BE was due to its rise in patients with low tissue perfusion. Thus, the non-surviving patients had a BE absolute elevation greater than survivors 4,5,9,10,[18][19][20][21][22] .…”

Section: Variablesmentioning

confidence: 89%

“…According to Pereira Júnior et al 2 , adequate transportation of the patient has been neglected by care teams and health professionals. Lima Junior et al 4 , studying the transport of patients in a hospital, noted that the use of transport ventilators causes little effect on blood gases due to the method of transport of these patients. In our sample study, the mechanical ventilator was used during the transport of patients from the time of orotracheal intubation until arrival at the emergency unit.…”

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

“…Most studies that show physiological changes during transport of critically ill patients are observational, and associate these alterations with greater morbidity during their stay in closed units (ICUs) and restrictions in intrahospital transport 4 . Waydhas et al 5 analyzed respiratory deterioration during intra-hospital transportation and noted that 84% of patients experienced a worsening of PaO 2 / FiO 2 , and in 43% of patients the deterioration was over 20% above the baseline, with effects that lasted for over 24 hours in 20% of subjects.…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

See 3 more Smart Citations

Avaliação dos parâmetros gasométricos dos traumatizados durante o atendimento pré-hospitalar móvel

Gonsaga

Valiatti

Brugugnolli³

et al. 2013

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

show abstract

Section: Variablesmentioning

confidence: 62%

Section: Variablesmentioning

confidence: 89%

Section: Discussion Discussion Discussion Discussion Discussionmentioning

confidence: 99%

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

See 2 more Smart Citations

Avaliação dos parâmetros gasométricos dos traumatizados durante o atendimento pré-hospitalar móvel

Gonsaga

Valiatti

Brugugnolli³

et al. 2013

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

show abstract

“…Newton Almeida et al . [ 9 ]; concluded that ventilation using a transport-specific device caused less blood gas alterations than ventilation using a manual resuscitator. These findings coincide with our results as a statistically significant difference between groups in terms of pH ( P -value < 0.001) and pCO2 ( P -value 0.0072).…”

Section: Discussionmentioning

confidence: 99%

Comparison of Hemodynamic Consequences of Hand Ventilation Versus Machine Ventilation for Transportation of Post-Operative Pediatric Cardiac Patients

Chauhan

Rajesh

Pujara

et al. 2023

Annals of Cardiac Anaesthesia

View full text Add to dashboard Cite

Learning Objective: Hemodynamic monitoring during in-hospital transport of intubated patients is vital; however, no prospective randomized trials have evaluated the hemodynamic consequences of hand versus machine ventilation during transport among pediatric patients’ post-cardiac surgery. The authors hypothesized that manual ventilation after pediatric cardiac surgery would alter hemodynamic and arterial blood gas (ABG) parameters during transport compared to mechanical ventilation. Design: A prospective randomized trial. Setting: Tertiary cardiac care hospital. Participants: Pediatric cardiac surgery patients. Materials and Methods: One hundred intubated pediatric patients were randomized to hand or machine ventilation immediately post-cardiac surgery during transport from the operating room to the pediatric post-operative intensive care unit (PICU). Hemodynamic variables, including end-tidal CO 2 (ETCO 2 ), oxygen saturation, heart rate, systolic blood pressure (SBP), diastolic blood pressure (DBP), peak airway pressure (Ppeak), and mean airway pressure (Pmean), were measured at origin, during transport, and at the destination. ABG was measured before and upon arrival in the PICU, and adverse events were recorded. The Chi-square test and independent t-test were used for comparison of categorical and continuous parameters, respectively. Results and Discussion: The mean transport time was comparable between hand-ventilated (5.77 ± 1.46 min) and machine-ventilated (5.96 ± 1.19 min) groups ( P = 0.47). ETCO 2 consistently dropped during transport and after shifting in the hand-ventilated group, with significantly higher ETCO 2 excursion than in machine-ventilated patients (P < 0.05). SBP and DBP significantly decreased during transport (at 5 and 6 min intervals) and after shifting in hand-ventilated patients than in the other group (P < 0.05). Additionally, after shifting, a significant increase in Ppeak (P < 0.001), Pmean (P < 0.001), and pH (P < 0.001), and a decrease in pCO 2 ( P = 0.0072) was observed in hand-ventilated patients than machine-ventilated patients. No adverse event was noted during either mode of ventilation. Conclusion: Hand ventilation leads to more significant variation in ABG and hemodynamic parameters than machine ventilation in pediatric patients during transport post-cardiac surgery. Therefore, using a mechanical ventilator is the preferred method for transporting post-operative pediatric cardiac patients.

show abstract

Analysis of Different Tidal Volumes on Ventilatory Mechanics and Arterial Blood Gas Variables in Patients Undergoing Cardiac Surgery

Cordeiro,

Souza,

Lima

et al. 2023

Indian Journal of Critical Care Medicine

View full text Add to dashboard Cite

Gasometria arterial em dois diferentes métodos de transporte intra-hospitalar no pós-operatório imediato de cirurgia cardíaca

Abstract: Arterial blood gas analysis in two different intrahospital transport methods for postoperative cardiac surgery patients Gasometria arterial em dois diferentes métodos de transporte intra-hospitalar no pós-operatório imediato de cirurgia cardíaca

Cited by 3 publications

References 21 publications

Avaliação dos parâmetros gasométricos dos traumatizados durante o atendimento pré-hospitalar móvel

Avaliação dos parâmetros gasométricos dos traumatizados durante o atendimento pré-hospitalar móvel

Comparison of Hemodynamic Consequences of Hand Ventilation Versus Machine Ventilation for Transportation of Post-Operative Pediatric Cardiac Patients

Analysis of Different Tidal Volumes on Ventilatory Mechanics and Arterial Blood Gas Variables in Patients Undergoing Cardiac Surgery

Contact Info

Product

Resources

About