A validated rule for predicting patients who require prolonged ventilation post cardiac surgery

Dunning, Joel; Au, John; Kalkat, Maninder; Levine, Adrian

doi:10.1016/s1010-7940(03)00269-0

Cited by 28 publications

(16 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Likewise, Jin et al [8] have stated that prolonged mechanical ventilation increased significantly with the increase in the body mass index (BMI). On the other hand, Dunning et al [9] had found that the mean BMI is not a risk for prolonged mechanical ventilation after cardiac surgery.…”

Section: Discussionmentioning

confidence: 99%

Predictors of prolonged mechanical ventilation following aorta no-touch off-pump coronary artery bypass surgery

Prapas

Panagiotopoulos

Abdelsalam

et al. 2007

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Predictors of prolonged mechanical ventilation following aorta no-touch off-pump coronary artery bypass surgery

Prapas

Panagiotopoulos

Abdelsalam

et al. 2007

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

show abstract

“…6,7 A number of studies regarding PMV following cardiac surgery have examined its predictors or its influence on clinical outcomes and costs. [8][9][10][11][12][13][14][15][16][17] However, little is known about PMV following AAAD surgery. The aim of this retrospective study was to identify predictors of PMV following AAAD surgery and to assess the influence of PMV on the short and long-term postoperative courses.…”

mentioning

confidence: 99%

Risk Factors for Prolonged Mechanical Ventilation Following Surgery for Acute Type A Aortic Dissection

Kimura

Tanaka

Kawahito

et al. 2008

Circ J

View full text Add to dashboard Cite

ompared to the relatively favorable in-hospital outcomes of acute type B aortic dissection, 1,2 acute type A aortic dissection (AAAD) remains one of the most serious cardiovascular diseases associated with a high mortality. The latest report from the International Registry of Acute Aortic Dissection Investigators group indicated that in-hospital mortality remains high (163 of 682 patients (23.9%) with AAAD treated surgically between 1996 and 2003). 3 With such critical illness, some patients require prolonged mechanical ventilation (PMV) after surgery. Compared with patients who undergo other cardiac surgeries, patients with AAAD are more likely to suffer preoperative hemodynamic instability, organ malperfusion, and prolonged cardiopulmonary bypass (CPB) during surgery. In addition, re-exploration for bleeding and neurological deficits are common postoperative complications in these patients. 4 All these factors can contribute to PMV after AAAD surgery. 5 Another factor related to the PMV is systemic inflammatory response-related lung injury evoked by acute aortic dissection. 6,7 A number of studies regarding PMV following cardiac surgery have examined its predictors or its influence on clinical outcomes and costs. [8][9][10][11][12][13][14][15][16][17] However, little is known about PMV following AAAD surgery. The aim of this retrospective study was to identify predictors of PMV following AAAD surgery and to assess the influence of PMV on the short and long-term postoperative courses. MethodsFrom January 1997 through to December 2006, 243 consecutive patients with AAAD underwent emergency surgery at our hospital. Aortic dissection was diagnosed by means of enhanced computed tomography scan or echocardiography, and transesopageal echocardiography was used for confirmation when possible. In all patients, emergency surgery was performed within 14 days after the onset of symptoms; 90% of these surgeries were performed within 48 h. So that we could focus on PMV, 10 patients who died within 48 h after surgery were excluded from the study. Death within 48 h after surgery was due to profound cardiac failure (8 patients) or refractory bleeding (2 patients). The remaining 233 patients (120 men, 113 women, mean age: 63.4±11.2 years) were divided into 2 groups according to the duration of mechanical ventilation: those who were tracheally extubated within 48 h after admission to the intensive care unit (ICU) (group A, n=149) and those who required mechanical ventilation for more than 48 h (group B, n=84). Patients who were reintubated within 24 h after extubation were considered to have an interrupted period of ventilation. To identify the independent predictors for PMV, we compared 48 perioperative factors (25 preoperative factors and 23 intra or postoperative factors) between the 2 groups. Mortality and morbidity, length of the ICU and hospital stays, and long-term survival were compared

show abstract

“…Olumsuz sonuçları bulunan uzamış mekanik ventilasyonun olası önbelirleyiciler ile tespiti sayesinde hastalara preemptif stratejilerin ve postoperatif uygun tedavi yaklaşımlarının sağlanması mümkün olabilir. Uzamış mekanik ventilasyonun net tanımı, görülme sıklığı ve bağımsız önbelirleyicileri hakkında uzlaşmaya henüz varılamamıştır (6,(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Yirmi dört saatten uzun süren mekanik ventilasyon ihtiyacını uzamış mekanik ventilasyon olarak tanımladığımız çalışmamızda; preoperatif SVO varlığı, KPB süresi, intraoperatif O2 satürasyonunda düşme, postoperatif taze donmuş plazma ve sedatif kullanımının KABG sonrası uzamış mekanik ventilasyon için risk faktörleri olduğunu saptadık.…”

Section: Discussionunclassified

“…KABG sonrası uzamış mekanik ventilasyonun %3-9,9 arasında olduğu bildirilmektedir (9)(10)(11)(12)(13)(14). Hastanemizde sadece KABG (27), ileri dönük vaka kontrollü çalışmalarında, öncesinde inme geçirmiş kalp cerrahisi hastalarının (bütün grubun %7'si) inme geçirmemiş hastalara göre perioperatif nörolojik morbidite insidanslarını %44'e karşı %1,4 olarak bildirmişlerdir.…”

Section: Discussionunclassified

Koroner Arter Baypas Greftleme Cerrahisi Geçiren Erişkinlerde Uzamış Mekanik Ventilasyonun Önbelirleyicileri

Akovalı¹,

Camkiran²,

Zeyneloğlu³

et al. 2013

tybdd

View full text Add to dashboard Cite

A validated rule for predicting patients who require prolonged ventilation post cardiac surgery

Abstract: Our rule identifies 14% of all our patients as high risk and 50% of these required prolonged ventilation. Such a rule allows more efficient use of scarce CSU resources by appropriate surgical scheduling.

Cited by 28 publications

References 9 publications

Predictors of prolonged mechanical ventilation following aorta no-touch off-pump coronary artery bypass surgery

Predictors of prolonged mechanical ventilation following aorta no-touch off-pump coronary artery bypass surgery

Risk Factors for Prolonged Mechanical Ventilation Following Surgery for Acute Type A Aortic Dissection

Koroner Arter Baypas Greftleme Cerrahisi Geçiren Erişkinlerde Uzamış Mekanik Ventilasyonun Önbelirleyicileri

Contact Info

Product

Resources

About