Respiratory pressures and expiratory peak flow rate of patients undergoing coronary artery bypass graft surgery

Gimenes, Camila; Godoy, Irma; Padovani, Carlos Roberto; Gimenes, Rodrigo; Okoshi, Marina Politi; Okoshi, Katashi

doi:10.12659/msm.883351

Cited by 9 publications

(4 citation statements)

References 40 publications

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“…The finding of this study was showed the correlation of MIP and MEP alteration with the change in PEF indicates that decreased the respiratory muscle strength after open-heart surgery was associated with the attenuated of cough ability. In our results, respiratory muscle strength and PEF were significantly reduced in the post-operative period, which is similar to a study by Gimenes et al (14). These reductions are related to intra-operative factors such as surgical manipulation, anesthesia, cardioplegic agents, thermal damage, cardiopulmonary bypass, and mechanical ventilation used.…”

Section: Discussionsupporting

confidence: 91%

Correlation between change in respiratory muscle strength and cough ability in patients submitted to open-heart surgery

Pongpanit¹,

Kulchanarat²,

Buranapuntalug³

et al. 2019

Eastern J Med

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The purpose of this study was to determine the correlation between change in respiratory muscle strength and change in cough ability in patients submitted to open-heart surgery. An observational cross-sectional study was conducted among 52 participants. Respiratory muscle strength was assessed by maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) using a respiratory pressure meter. Cough ability was evaluated by voluntary expiratory peak flow (PEF) using a digital spirometer. Evaluations were performed on the day of admission and discharge. Post-operative MIP, MEP, and PEF were significantly lower than those evaluated preoperatively (all p < 0.001). The difference of MIP and MEP was substantial positively correlated with the change in PEF in both absolute and predicted values (all p < 0.001) with the changes in MIP was highly relation. This study demonstrated that weakness of respiratory muscles, especially inspiratory muscle, was correlated to declining in cough ability in patients who had undergone open-heart surgery.

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Section: Discussionsupporting

confidence: 91%

Correlation between change in respiratory muscle strength and cough ability in patients submitted to open-heart surgery

Pongpanit¹,

Kulchanarat²,

Buranapuntalug³

et al. 2019

Eastern J Med

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“…In addition, angina can lead to pulmonary changes together with COPD. Gimenes C et al [ 16 ] observed that severe angina (class III), in association with COPD, results in higher reductions in pulmonary pressures between the preoperative period and the 5th postoperative day. The above-mentioned reasons can cause obstructive and restrictive ventilation disorder, and decrease vital capacity and maximal ventilation volume.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for endotracheal re-intubation following coronary artery bypass grafting

Liu

Shi

Ming

et al. 2013

J Cardiothorac Surg

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BackgroundEndotracheal re-intubation following coronary artery bypass grafting (CABG) is often associated with significant morbidity and mortality. However, few reports have focused on the independent risk factors for re-intubation following CABG. This study aimed to evaluate the independent risk factors for re-intubation following CABG.MethodsThe pre-, intra-, and post-operative materials in patients who had selective and isolated CABG performed on them from January 2004 to July 2012 in our hospital were analyzed retrospectively. Unvariate analysis and logistic regression were used to analyze the risk factor of postoperative re-intubation following CABG.ResultsAmong the 1,244 patients investigated, 97 cases suffered from postoperative re-intubation, and the incidence rate of postoperative re-intubation was 7.8%. The in-hospital mortality in the re-intubation group was significantly higher than that in the non-re-intubation group (9.3% versus 1.4%, P = 0.004). Re-intubation also correlated with many negative outcomes such as pneumonia, tracheotomy, acute renal failure, infection of incision, prolonged mechanical ventilation time, prolonged intensive care unit (ICU) stay and prolonged hospital stay. The most commonly cause of re-intubation after CABG was hypoxemia due to cardiogenic and noncardiogenic disease, which accounted for 72.2%. The relative factors of postoperative re-intubation were tested through unvariate analysis and logistic regression, and the associated factors were obtained. The associated factors for re-intubation following CABG included preoperative chronic obstructive pulmonary disease (COPD) (OR = 2.134, 95% CI = 1.472-2.967), preoperative congestive heart failure (CHF) (OR = 2.325, 95% CI = 1.512-3.121), postoperative relative hypoxemia (OR = 2.743, 95% CI = 1.657-3.326), postoperative acute kidney injury (AKI) (OR = 2.976, 95% CI = 2.127-4.023), postoperative total mechanical ventilation time (OR = 1.976, 95% CI = 1.347-2.645).ConclusionPreoperative COPD, preoperative CHF, postoperative relative hypoxemia, postoperative AKI and postoperative total mechanical ventilation time were five independent risk factors for re-intubation following CABG.

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“…Patients with heart disease often have respiratory changes. The associated comorbidities, the loss of respiratory muscle strength, the instability of the chest, the inflammatory process triggered by external factors, such as the CEC, directly affect the individual's lung capacity during this period 27 .…”

Section: Resultsmentioning

confidence: 99%

Relação Entre O Nível De Adiponectina Com Medidas Antropométricas E Respiratórias De Pacientes Submetidos À Cirurgia De Revascularização Miocárdica.

Araujo¹,

Souza²,

Santana³

et al. 2019

Revista E-Ciência

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RESUMOOs baixos níveis de adiponectina no plasma tem relação com o aumento da mortalidade em pacientes com doenças cardiovasculares, alterações da função pulmonar, sugerindo ação pró-inflamatória em decorrência da obesidade. Foram avaliados 65 pacientes, submetidos à cirurgia de revascularização do miocárdio. Analisados nível sérico da adiponectina, medidas antropométricas e respiratórias. Verificou-se que 55,8% dos pacientes do sexo masculino e 40% do feminino apresentaram sobrepeso e um IMC médio de 28,10 kg/m². Os maiores índices de sobrepeso foram verificados na faixa etária de 40 a 59 anos (62,5%) e de 60 anos ou mais (47,8%) O teste de comparação de proporção foi significativo para sexo (p=0,004), idade (p<0,001) e IMC (p=0,007). Quanto aos níveis de adiponectina verificou-se maior média no grupo masculino (média = 4,29), entre 40 a 59 anos (média = 4,70), com sobrepeso (média=4,70). Não houve relação entre o nível de adiponectina com as medidas antropométricas e respiratórias de pacientes submetidos à cirurgia de revascularização miocárdica.Palavras chaves: índice de massa corporal, adiponectina, antropometria, revascularização miocárdica. ABSTRACTLow plasma adiponectin levels are associated with increased mortality in patients with cardiovascular disease, changes of pulmonary function, suggesting that pro-inflammatory action as a result of obesity. We evaluated 65 patients submitted to myocardial revascularization surgery. Analyzed serum level of adiponectin, anthropometric and respiratory measures. It was verified that 55.8% of the male patients and 40% of the female patients were overweight and had an average BMI of 28.10 kg / m². The highest rates of overweight were found in the age group of 40-59 years old (62.5%) and 60 or older (47.8%). The proportion-comparison test was significant for gender (p = 0.004), age (p <0.001) and BMI (p = 0.007). Adiponectin levels were higher in the male group (average = 4.29), between 40 and 59 years old (average = 4.70), overweight (average = 4.70). There was no relationship between the level of adiponectin and the anthropometric and respiratory measurements of patients undergoing myocardial revascularization surgery.

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Respiratory pressures and expiratory peak flow rate of patients undergoing coronary artery bypass graft surgery

Cited by 9 publications

References 40 publications

Correlation between change in respiratory muscle strength and cough ability in patients submitted to open-heart surgery

Correlation between change in respiratory muscle strength and cough ability in patients submitted to open-heart surgery

Risk factors for endotracheal re-intubation following coronary artery bypass grafting

Relação Entre O Nível De Adiponectina Com Medidas Antropométricas E Respiratórias De Pacientes Submetidos À Cirurgia De Revascularização Miocárdica.

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