EN
Effects of Continuous Positive Airway Pressure (CPAP) Ventilation During Cardiopulmonary Bypass on Postoperative Outcomes
Abstract
Objective: In this study, the relationship between the duration of intensive care unit stay, hospital stay, and intubation period between nonventilated and continuously ventilated groups of patients who underwent surgery with a cardiopulmonary bypass (CPB) device was investigated.
Methods: In the study, we divided patients into two groups. Continuously ventilated during CPB group and non-ventilated group. In the continuously ventilated group, respiratory rate was 6 per minute, tidal volume was 6 ml/kg and FiO2 was 50%. In the non-ventilated group, the lungs were completely removed from the ventilator after the cross-clamp was placed.
Results: Although the duration of intensive care unit stays, length of hospital stay, and intubation times were relatively short in the continuously ventilated group, there was no statistically significant difference between the two groups.
Conclusion: There is a need for studies with a larger number of patients and subgroups regarding the maintenance of continuous ventilation during cardiopulmonary bypass.
Methods: In the study, we divided patients into two groups. Continuously ventilated during CPB group and non-ventilated group. In the continuously ventilated group, respiratory rate was 6 per minute, tidal volume was 6 ml/kg and FiO2 was 50%. In the non-ventilated group, the lungs were completely removed from the ventilator after the cross-clamp was placed.
Results: Although the duration of intensive care unit stays, length of hospital stay, and intubation times were relatively short in the continuously ventilated group, there was no statistically significant difference between the two groups.
Conclusion: There is a need for studies with a larger number of patients and subgroups regarding the maintenance of continuous ventilation during cardiopulmonary bypass.
Keywords
References
- 1. Wang YC, Huang CH, Tu YK. Effects of positive airway pressure and mechanical ventilation of the lungs during cardiopulmonary bypass on pulmonary adverse events after cardiac surgery: A systematic review and meta-analysis. J Cardiothorac Vasc Anesth, 2018;32(2):748-59. 2. Schreiber JU, Lancé MD, de Korte M, Artmann T, Aleksic I, Kranke P. The effect of different lung-protective strategies in patients during cardiopulmonary bypass: a meta-analysis and semiquantitative review of randomized trials. J Cardiothorac Vasc Anesth, 2012;26(3):448-54. 3. Apostolakis E, Filos KS, Koletsis E, Dougenis D. Lung dysfunction following cardiopulmonary bypass. J Card Surg. 2010;25:47-55. 4. Stephens RS, Shah AS, Whitman GJ. Lung injury and acute respiratory distress syndrome after cardiac surgery. Ann Thorac Surg 2013; 95:1122–9. 5. Öztürk S, Öztürk İ. Transfusion-related acute lung injury in cardiac surgery. Turk Gogus Kalp Dama 2014;22(2):464-71.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
October 1, 2022
Submission Date
September 12, 2022
Acceptance Date
September 27, 2022
Published in Issue
Year 2022 Volume: 44 Number: 3