Miniesternotomia na cirurgia de revascularização miocárdica preserva função pulmonar pós-operatória

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil [I] Complicações pulmonares em pacientes submetidos à cirurgia de revascularização do miocárdio em um hospital de Maceió [A] Ana Carolina do Nascimento Calles [a] , Jéssyca Lane Fausto Lira [a] , Karolyne Soares Barbosa Granja [a] , Jaime Dativo de Medeiro [a] , Adoniran Rodrigues Farias [b] , Ricardo César Cavalcanti [c]* [a] Centro Universitário Tiradentes (UNIT), Maceió, AL, Brazil [b] Universidade Estadual de Ciências da Saúde de Alagoas (UNCISAL), Maceió, AL, Brazil [c] Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil [R] Abstract Introduction: Despite technological advances aimed at reducing complications and hospital stay, pulmonary complications in the postoperative period of CABG surgery remain one of the most important causes of morbidity. These may be related to the patient's quality of life, the use of cardiopulmonary bypass, as well as a decline in postoperative respiratory muscle strength, contributing to the emergence of restrictive respiratory disorders. Objective: Assess pulmonary complications in patients undergoing coronary artery bypass graft surgery and identify their association with risk factors. Methods: A retrospective study with non-probability convenience sampling of 168 patients at the Hospital Calles ACN, Lira JLF, Granja KSB, Medeiro JD, Farias AR, Cavalcanti RC. 662 failure (1.2%); and bronchopneumonia (0.6%). Female patients and those aged 70 years or older experienced more pulmonary complications after surgery. Conclusion: Women and patients older than 70 years had the most severe postoperative pulmonary complications, the most common being pleural effusion and atelectasis.

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“…With respect to age, we found a similar mean to that reported in other studies, namely 62.50 ± 9.52 years (11) and 60.10 ± 5.56 years (10).…”

Section: Discussionsupporting

confidence: 90%

“…Evidence demonstrates that pulmonary complications occur in 20 to 65% of patients submitted to this procedure (10).…”

Section: Discussionmentioning

confidence: 99%

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil

et al. 2016

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“…From the viewpoint of pulmonary complications, which are considered common and of which rate may be even greater than 87% in conventional myocardial revascularization surgery, according to Ortiz et al 14 , the authors found in their series a relatively low level of complications, of around 11% (adding pneumonia 8% and reintubations 3%) in minimallyinvasive surgical procedures, corroborating the findings of the comparative study of Guizilini et al 15 , where the ministernotomy was better concerning lung preservation when compared to total sternotomy.…”

supporting

confidence: 68%

Cirurgia de revascularização do miocárdio minimamente invasiva

Poffo¹,

Celullare²

2012

Arq. Bras. Cardiol.

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“…Pulmonary function interested two cardiac surgery research groups: Guizilini et al8 evaluated early postoperative pulmonary function in patients submitted to off-pump coronary artery bypass grafting, comparing the conventional midsternotomy with the ministernotomy approach and found that ministernotomy led to better preservation and recovery of pulmonary function. Barros et al9 evaluated respiratory muscle training, performed after the revascularization surgery and found that it may increase ventilatory capacity.…”

Section: Introductionmentioning

confidence: 99%

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

Patel¹,

Caramelli²,

Gomes³

2011

Clinics

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Recent original scientific contributions published in selected Brazilian periodicals and classifiable under cardiovascular and pulmonary subject categories cover a wide range of sub specialties, both clinical and exprimental. Because they appear in journals with only recently enhanced visibility, we have decided to highlight a number of specific items appeared in four Brazilian journals, because we understand that this is an important subsidy to keep our readership adequately informed. These papers cover extensive sub-areas in both fields.

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Miniesternotomia na cirurgia de revascularização miocárdica preserva função pulmonar pós-operatória

Abstract: Background: In coronary artery bypass graft (CABG) surgery, the need to perform a midsternotomy has been considered a factor for the decrease in postoperative pulmonary function.

Cited by 16 publications

References 24 publications

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil

Cirurgia de revascularização do miocárdio minimamente invasiva

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

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