Effect of Different Lung Ventilatory Patterns during and After Cardiopulmonary Bypass on Oxygenation Parameters after Cardiac Surgery in Adults: A Comparative Study

Hassan, Eslam Reda Abdelhay; Sharaf, Samia Ibrahim; Aboseif, Eman M.K.; Mohamed, Marwa M.

doi:10.21608/ejhm.2018.11459

Cited by 1 publication

(2 citation statements)

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“…Congenital heart disorders (CHDs) are characterised by structural flaws in the heart or blood arteries that start developing at birth [1]. The heart was complex and developed in a dynamic manner during embryological development.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of the effect of ventilation strategies during cardiopulmonary bypass on postoperative pulmonary complication in pediatric cardiac surgery

Magdy¹,

Elnegeery²,

Rahamawy³

et al. 2022

ijhs

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Objectives: To compare the effects of three ventilation strategies during cardiopulmonary bypass on postoperative pulmonary complications (PPCs). Design: A prospective, randomized, double blinded study. Setting: Single center hospital. Participants: forty eight pediatric patients undergoing elective repair of congenital heart diseases with cardiopulmonary bypass. Interventions: Patients were randomly assigned into three groups according to ventilation strategy during CPB: (1) low tidal volume (LTV), RR 5 breath ber min, and Vt 2 -3mL/kg of ideal body weight, (2) continuous positive airway pressure (CPAP) of 5-10 cm H2O, (3). no ventilation (NOV). Measurements: and Main Results: postoperative atelectasis. Regarding the frequency of postoperative atelectasis there was statistically insignificant between the studied groups although the number of patients who developed atelectasis in NVgroup 7 (43.8%) were greater than the number in both LTV group 2 (12.5%) and CPAP group 2 (12.5%) Conclusions: Maintaining ventilation during CPB can reduce the incidence of PPCs in pediatric patients undergoing cardiac surgery.

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Section: Introductionmentioning

confidence: 99%

“…The heart was complex and developed in a dynamic manner during embryological development. This began on day 15 of conception and ends on day 49 with the complete development of the human heart [1].…”

Section: Introductionmentioning

confidence: 99%