Aspectos da função pulmonar após revascularização do miocárdio relacionados com risco pré-operatório

Ambrozin, Alexandre Ricardo Pepe; Catâneo, Antônio José Maria

doi:10.1590/s0102-76382005000400009

Cited by 24 publications

(28 citation statements)

References 23 publications

(47 reference statements)

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“…These changes are related to various causes such as heart and lung function preoperatively, duration of CPB and the degree of sedation [7], intensity of surgical manipulation and the number of pleural drains, and the intraoperative factors were the main responsible for change on respiratory mechanics in the immediate postoperative period [2,6].…”

Section: Discussionmentioning

confidence: 99%

“…General anesthesia, surgical incision, cardiopulmonary bypass (CPB), ischemia time, intensity of the surgical manipulation and number of pleural drains may predispose the patient to the change in lung function [1,2,[4][5][6]. After surgery, there is reduction of residual volume (RV), total lung capacity (TLC), vital capacity (VC) and functional residual capacity (FRC), leading to the formation of atelectasis, with changes in the ventilation-perfusion ratio (V/Q), the partial pressure of carbon dioxide in arterial blood (PaCO 2 ) and partial pressure of oxygen in arterial blood (PaO 2 ) [2].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Perfil ventilatório dos pacientes submetidos a cirurgia de revascularização do miocárdio

Morsch¹,

Leguisamo²,

Camargo³

et al. 2009

Rev Bras Cir Cardiovasc

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perfil ventilatório dos pacientes submetidos a cirurgia de revascularização do miocárdio

Morsch¹,

Leguisamo²,

Camargo³

et al. 2009

Rev Bras Cir Cardiovasc

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“…In cardiac surgery immediate postoperative period, static compliance is lower than normal, probably reflecting atelectasis [9]. These changes may be related to intraoperative procedures as mechanical ventilation with low volumes and low PEEP levels and sternotomy, which alters chest wall compliance [12].…”

Section: Spo 2 -Oxygen Saturation; Pao 2 -Arterial Oxygen Partial Prementioning

confidence: 99%

Effects of different PEEP levels on respiratory mechanics and oxygenation after coronary artery bypass grafting

Borges¹,

Nina²,

Costa³

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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380Rev Bras Cir Cardiovasc | Braz J Cardiovasc SurgRev Bras Cir Cardiovasc 2013;28(3):380-5 Borges DL, et al. -Effects of different PEEP levels on respiratory mechanics and oxygenation after coronary artery bypass grafting RBCCV 44205-1484 DOI: 10.5935/1678 Effects of different PEEP levels on respiratory mechanics and oxygenation after coronary artery bypass grafting Rev Bras Cir Cardiovasc 2013;28(3):380-5

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“…Recovery from anesthesia allows the patient to reassume spontaneous respiration. During MV, doctors recommend the use of tidal volume of 8 to 10 mL/kg in volume controlled mode or peak/plateau inspiratory pressure sufficient to maintain the same volume in the controlled pressure mode [9] and, as used in Ambrozin and Cataneo study [13], with a PEEP (Positive End-Expiratory Pressure) of 5cm H 2 O and inspired oxygen fraction (FiO2) of 100%. Protective ventilation ("physiological" tidal volume and PEEP) can also be used during general anesthesia and in the postoperative.…”

Section: Patient Admission At Postoperative Intensive Care Unitmentioning

confidence: 99%

Cuidados pré e pós-operatórios em cirurgia cardiotorácica: uma abordagem fisioterapêutica

Arcêncio¹,

Souza²,

Bortolin³

et al. 2008

Rev Bras Cir Cardiovasc

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It is well known that anesthesia and certain surgeries predispose patients to changes in respiratory function, pulmonary volumes, and gas exchange. Cardiac surgery, which is considered a major surgery, may trigger respiratory complications in the postoperative period. These complications have various causes, such as heart and lung functions in the pre-operative, the use of cardiopulmonary bypass (CPB), and the level of sedation. In these extensive thoracic procedures, respiratory dysfunction may be significant, persisting in the postoperative period. Physiotherapy is offered to patients in the ICU as part of a multidisciplinary treatment plan. It is a time-consuming treatment, and is possible at various times during the patient's stay in the ICU. However, it is particularly valuable in postoperative recovery in order to avoid respiratory and motor complications. Thus, a literature review was performed, aiming to arrange current and relevant information on available resources for respiratory monitoring, as well as its importance in evaluating and treating lung function impairment, as this complication is a frequent cause of death in surgical patients. Bras Cir Cardiovasc 2008; 23(3): 400-410 For acquisition data in this study, scientific articles and an electronic research strategy was used for bibliographic reviews, mainly aiming to identify studies and guidelines that relate to physiotherapeutic performance and cardiothoracic surgery. The study was carried out based on articles that were published in the last 20 years, were available in the MEDLINE database, and used the terms "Physiotherapy", "cardiac surgery", "respiratory monitoring" and/or "respiratory complications". Relevant studies from Brazilian authors were also considered, particularly those published by the Brazilian Journal of Cardiovascular Surgery and the Brazilian Archives of Cardiology (official journals of dissemination of Brazilian cardiology) if the articles contained the key words "physiotherapy" and "monitoring". In addition to this research, additional data from postgraduate studies was found at the Division of Thoracic and Cardiovascular Surgery, FMRP-USP.ARCÊNCIO, L ET AL -Pre-and postoperative care in cardiothoracic surgery: a physiotherapeutic approach RevThe findings included randomized clinical trials, metaanalysis, review articles and consensus guidelines, and were related to physiotherapy, respiratory monitoring, and cardiac surgery and its complications. As the diagram of Figure 1 shows, 623 potentially relevant publications in MEDLINE were found, of which 55 fulfilled all of the scientific criteria.

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Aspectos da função pulmonar após revascularização do miocárdio relacionados com risco pré-operatório

Abstract: RBCCV 44205-779Aspectos da função pulmonar após revascularização do miocárdio relacionados com risco pré-operatório Pulmonary function aspects after myocardial revascularization related to preoperative risk

Cited by 24 publications

References 23 publications

Perfil ventilatório dos pacientes submetidos a cirurgia de revascularização do miocárdio

Perfil ventilatório dos pacientes submetidos a cirurgia de revascularização do miocárdio

Effects of different PEEP levels on respiratory mechanics and oxygenation after coronary artery bypass grafting

Cuidados pré e pós-operatórios em cirurgia cardiotorácica: uma abordagem fisioterapêutica

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