2012
DOI: 10.1186/1749-8090-7-11
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Abstract: BackgroundExacerbation of pulmonary dysfunction has been reported in patients receiving a pleural drain inserted through the intercostal space in comparison to patients with an intact pleura undergoing coronary artery bypass grafting (CABG). Evidence suggests that shifting the site of pleural drain insertion to the subxyphoid position minimizes chest wall trauma and preserves respiratory function in the early postoperative period. The aim of this study was to compare the pulmonary function parameters, clinical… Show more

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Cited by 15 publications
(21 citation statements)
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“…[19][20][21][22][23][24] Similar results were found in our study. Conventionally, coronary artery bypass grafting involves trauma to the rib cage, which causes pain that can be intensified by coughing.…”
Section: Discussionsupporting
confidence: 82%
“…[19][20][21][22][23][24] Similar results were found in our study. Conventionally, coronary artery bypass grafting involves trauma to the rib cage, which causes pain that can be intensified by coughing.…”
Section: Discussionsupporting
confidence: 82%
“…This fact can be due to the effect of intrinsic characteristics of surgical approaches along the hospital stay, once the use of cardiopulmonary bypass has been recognized as the main cause of an extensive inflammatory reaction, global myocardial ischaemia and higher injury to the myocardium (Gomes, 2012;Rossaint et al, 2012), what may influence the HRV recovery. Recent studies (Guizilini et al, 2007) has demonstrated that pleurotomy plays an important role in the pulmonary dysfunction, compared to an intact pleura and the location of pleural drain can also interfere with these outcomes Guizilini et al, 2012). In a subanalysis, however, we did not find significant differences in respiratory function between C-CABG and OPCAB groups at PO day 1 and discharge.…”
Section: Discussioncontrasting
confidence: 68%
“…Moreover, both groups had a similar rate of pleural drain, which was always located at subxiphoid region. Recent studies (Guizilini et al, 2007) has demonstrated that pleurotomy plays an important role in the pulmonary dysfunction, compared to an intact pleura and the location of pleural drain can also interfere with these outcomes Guizilini et al, 2012).…”
Section: Discussionmentioning
confidence: 99%
“…According to previous research, due to the multifactorial impairment of pulmonary function [5,19-23] , there is a significant risk of respiratory complications during the postoperative period, which may result in prolonged time of mechanical ventilation, longer postoperative hospital stay, and possibly death [5,20,21] . Those results are in agreement with our findings; the CMV and L-OLS groups with greater pulmonary function impairment also showed a significantly greater intubation time and hospital stay in comparison to the E-OLS group.…”
Section: Discussionmentioning
confidence: 99%