The Management of Respiratory Distress After Cardiothoracic Surgery

Gilston, Alan

doi:10.1136/thx.17.2.139

Cited by 19 publications

(6 citation statements)

References 12 publications

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“…Sixty-two per cent of the patients suffered from medical disorders which had failed to respond to more conservative therapy. There is a smaller percentage of surgical patients in this series compared with some other reports (Gilston, 1962;Norlander et al, 1961) because of the more rigid criteria used to define respiratory failure.…”

Section: Scope Of Artificial Ventilationmentioning

confidence: 65%

Experience With Fifty Patients Treated With Artificial Ventilation

Robbie¹,

Feldman²

1963

British Journal of Anaesthesia

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Experience gained during the treatment of fifty patients with respiratory failure is presented. The overall survival rate was 44 per cent, although some pathological conditions proved more amenable to treatment than others. The care of these patients involved the use of mechanical ventilators, and to obtain the best results the patients should be treated in a unit where there is a continuously high standard of nursing care and medical supervision. In such a unit problems which arise are more likely to be successfully overcomeproblems of humidification, of the care of the tracheostomy, of monitoring ventilation, of preventing cross infection, and of accurate instructions for the nursing staff. In a general hospital there is a wide range of medical and surgical disease which may result in respiratory insufficiency and be successfully treated.

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Section: Scope Of Artificial Ventilationmentioning

confidence: 65%

Experience With Fifty Patients Treated With Artificial Ventilation

Robbie¹,

Feldman²

1963

British Journal of Anaesthesia

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“…In the opinion of the authors, and also of Gilston (1962), the decision to use IPPR must be based on the patient's history and clinical condition. In patients whose main abnormality is in the respiratory system, determination of arterial Pco, is of great help.…”

Section: Discussionmentioning

confidence: 99%

Intermittent Positive Pressure Respiration After Open-Heart Surgery

Sandison

McCormick

Sykes

1963

British Journal of Anaesthesia

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(1) A description has been given of the use of tracheostomy and IPPR in the treatment of twenty-five cases suffering from respiratory and circulatory complications after open-heart surgery. (2) In patients suffering from respiratory abnormalities, results were good. In those with a derangement of the circulation results were poor. However, it was concluded that therapy in this group is often justified. (3) Although arterial blood gas determinations are of value, the decision to use artificial ventilation must be based on a consideration of the history and clinical state in addition to the biochemical data. The use of intermittent positive pressure respiration (IPPR) in the treatment of ventilatory inadequacy after thoracic surgery is well docu

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“…Humidification of the inspired gases is essential in order to limit thick secretions (Burton 1962); for patients having artificial ventilation we use the Spalding kettle type of humidifier on the patient input side of the humidifier (Marshall & Spalding 1953) and for those patients with a tracheostomy alone we use a similar arrangement or an Oxygenaire nebulizer; either can be connected to a perspex T-piece as described by Gilston (1961). High flows of oxygen or an oxygen-enriched mixture are used as necessary.…”

Section: Management Ofthe Tracheostomymentioning

confidence: 99%

“…Total perfusion time is often prolonged in these cases and repair of the lesion may cause some flooding of the lungs due to increased flow through the right outflow tract and the large bronchial flow which is still initially present. Gilston (1962), in an analysis of respiratory distress after open heart surgery, stated that the main cause was heart failure. In an analysis of the indications for IPPR following open heart surgery, Dr M W Potts and I found a high incidence of Fallot's tetralogy patients needing mechanical ventilation for circulatory reasons.…”

mentioning

confidence: 99%

Tracheostomy and Open Heart Surgery

Robertson

1964

Proceedings of the Royal Society of Medicine

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The Management of Respiratory Distress After Cardiothoracic Surgery

Cited by 19 publications

References 12 publications

Experience With Fifty Patients Treated With Artificial Ventilation

Experience With Fifty Patients Treated With Artificial Ventilation

Intermittent Positive Pressure Respiration After Open-Heart Surgery

Tracheostomy and Open Heart Surgery

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