التفاصيل البيبلوغرافية
| العنوان: |
The Role of Protective Ventilation in Cardiac Surgery Patients. |
| المؤلفون: |
Vincent, Jean-Louis, Gommers, D., dos Reis Miranda, D. |
| المصدر: |
Intensive Care Medicine (9780387495170); 2007, p398-406, 9p |
| مستخلص: |
Cardiac surgery is associated with a pulmonary and systemic inflammatory response. The pulmonary effects of this inflammatory reaction are often modest: decreased lung compliance, pulmonary edema, increased intrapulmonary shunt fraction and decreased functional residual capacity (FRC) [1], Less than 2% of patients undergoing cardiac surgery develop full blown respiratory failure, the acute respiratory distress syndrome (ARDS) [1]. For example, after cardiac surgery, FRC is reduced up to 40-50% during the first 24 hours after extubation [2]. However, after general anesthesia, FRC is only decreased by 20-30% [3]. This exaggerated disturbance of pulmonary function is not yet fully understood. It has been suggested that this impaired pulmonary function is the result of pulmonary inflammation, triggered by cardiopulmonary bypass (CPB), ischemia-reperfusion injury, the surgical procedure itself, or by mechanical ventilation. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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