Acute Respiratory Failure in Infants Following Cardiovascular Surgery

Downes, John J.; Nicodemus, H. F.; Pierce, William S.; Waldhausen, John A.; Moffitt, Emerson A.

doi:10.1097/00132586-197104000-00042

Cited by 3 publications

(3 citation statements)

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“…A similar experience with other cardiac lesions treated surgically in infancy has been reported. Intensive respiratory management has resulted in better results in such series (Downes, Nicodemus, Pierce, and Waldhausen, 1970).…”

Section: Discussionmentioning

confidence: 99%

Superior vena cava to right pulmonary artery anastomosis: Results in 46 infants and children

Hunt¹,

Ws²,

Pb³

et al. 1970

Thorax

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Superior vena cava to right pulmonary artery anastomoses have been constructed in 46 infants and children with cyanotic congenital heart disease associated with low pulmonary blood flow and low pulmonary vascular resistance. All children had lesions not currently amenable to corrective operative procedures. Good or excellent results, albeit with persistent mild to moderate cyanosis, followed operation in 31 children and have been maintained for up to eight years. There were 15 hospital and two late deaths. Although there has been a significant absence of late complications, it is probable that the caval anastomosis results in a fixed level of pulmonary blood flow and thus fixed effort tolerance. Thus, when puberty with its demands for increased physical activity occurs, these patients may require further surgery, such as a systemic to pulmonary artery anastomosis to increase pulmonary blood flow.Inadequate pulmonary blood flow in the presence of normal or low pulmonary vascular resistance occurs with a variety of congenital cardiac lesions.Cava-pulmonary circulatory bypass of the right heart, first suggested by Carlon, Mondini, and DeMarchi (1951) and subsequently developed by Glenn and Patifno (1954), Glenn (1958), and Bakulev and Kolesnikov (1959, has become an accepted palliative procedure, mainly of use in patients with tricuspid atresia. Robicsek, Sanger, Taylor, and Najib (1963) Glenn (1958) and consisted of an end-to-side anastomosis of the right pulmonary artery to the superior vena cava followed by ligation of the superior vena cava at its junction with the right atrium. Interrupted 6/0 sutures were used for the anastomosis. Up to 1963, azygos vein ligation at the time of the caval anastomosis was used, but since then in selected patients the technique of delayed azygos ligation (Edwards and Bargeron, 1963)

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Section: Discussionmentioning

confidence: 99%

Superior vena cava to right pulmonary artery anastomosis: Results in 46 infants and children

Hunt¹,

Ws²,

Pb³

et al. 1970

Thorax

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“…These changes may be related to the effects of the surgical procedure itself, residual cardiovascular dysfunction, cardiopulmonary bypass, and anesthetic agents. These factors combined with ineffective cough related to pain and diaphragmatic dysfunction may lead to progressive respiratory compromise and respiratory failure following tracheal extubation and the removal of positive endexpiratory pressure [3,4). These factors combined with ineffective cough related to pain and diaphragmatic dysfunction may lead to progressive respiratory compromise and respiratory failure following tracheal extubation and the removal of positive endexpiratory pressure [3,4).…”

mentioning

confidence: 99%

Bilevel Positive Airway Pressure (BiPAP) by Nasal Mask for the Treatment of Respiratory Insufficiency Following Cardiac Surgery in Children

Tobias

Wilson

1998

J Intensive Care Med

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W. Bilevc1 positive airway pressure (BiPAP) by nasal mask for the treatment of respiratory insufficiency following cardiac surgery in children. J Intensive Care Med 1998; 13:206-210.TIle authors present their experience with the use of bilevel positi\·e airway pressure (BiPAP) administered ,·ia a nasal mask to treat respiratory failure in three children following surgery for congenital heart disease. TIle three children developed progressive atelectasis, hypoxemia, and impending respiratory failure following tracheal extubation in the postoperative period. The use of BiPAP by nasal mask resulted in a decrease in the patients' respiratory rate, an increase in oxygen saturation and PJ.O" a decrease in transcutaneous CO" and resolution of atelectasis. The applications of this technique and the equipment required are reviewed.

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“…Pulmonary dysfunction may be present before operation (Lees, Way, and Ross, 1967;Lees, Burnell, Morgan, and Ross, 1968;Howlett, 1972) and anatomical factors may be implicated (Stanger, Lucas, and Edward, 1969). Postoperative pulmonary dysfunction is common and can be a significant factor determining the postoperative course (Downes, Nicodemus, Pierce, and Waldhausen, 1970).…”

mentioning

confidence: 99%

Continuous positive airway pressure breathing in the postoperative management of the cardiac infant

Crew

Várkonyi

Gardner

et al. 1974

Thorax

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Acute Respiratory Failure in Infants Following Cardiovascular Surgery

Cited by 3 publications

References 0 publications

Superior vena cava to right pulmonary artery anastomosis: Results in 46 infants and children

Superior vena cava to right pulmonary artery anastomosis: Results in 46 infants and children

Bilevel Positive Airway Pressure (BiPAP) by Nasal Mask for the Treatment of Respiratory Insufficiency Following Cardiac Surgery in Children

Continuous positive airway pressure breathing in the postoperative management of the cardiac infant

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