Factors associated to the length of time on mechanical ventilation in the postoperative period of cardiac surgery

Our objective was to identify factors associated with the duration of mechanical ventilation (MV) postoperative to cardiac surgery and assess the association between duration of endotracheal intubation, length of stay in the Intensive Care Unit (ICU) and hospital. Longitudinal, retrospective study o...

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Main Authors: Laura Fonseca, Fernando Nataniel Vieira, Karina De Oliveira Azzolin
Format: Article
Language:English
Published: Universidade Federal do Rio Grande do Sul
Series:Revista Gaúcha de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472014000200067&lng=en&tlng=en
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author Laura Fonseca
Fernando Nataniel Vieira
Karina De Oliveira Azzolin
author_facet Laura Fonseca
Fernando Nataniel Vieira
Karina De Oliveira Azzolin
author_sort Laura Fonseca
collection DOAJ
description Our objective was to identify factors associated with the duration of mechanical ventilation (MV) postoperative to cardiac surgery and assess the association between duration of endotracheal intubation, length of stay in the Intensive Care Unit (ICU) and hospital. Longitudinal, retrospective study of medical records of 116 adults undergoing cardiac surgery from March 2012 to May 2013. The mean age was 57±14 years, predominantly male and coronary artery bypass grafting surgery (52.6%). The MV time was 15.25(7.66 to 23.68) hours. Associated with longer MV was the age (r=0.5,p<0.001), comorbidities (r=0.344,p<0.001), cardiopulmonary bypass time (r=0.244,p=0.008), duration of continuous sedation (r=0.607,p<0.001), sedative doses (r=0.4, p<0.001), time of vasoconstrictors and vasodilators (r=0.711, p< 0.001, r=0.368, p<0.001), drainage of the 1st time (r=0.201, p<0.031), presence of drains (r=0.445, p<0.001), postoperative complications (r=0.524, p< 0.001) and hospital stay. Our data confirms that both preoperative, transoperative and postoperative variables prolong the VM and therefore the hospital stay.
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spelling doaj.art-221ff2ca5e074e0c8cc6d71caf609dbe2022-12-21T19:13:27ZengUniversidade Federal do Rio Grande do SulRevista Gaúcha de Enfermagem1983-1447352677210.1590/1983-1447.2014.02.44697S1983-14472014000200067Factors associated to the length of time on mechanical ventilation in the postoperative period of cardiac surgeryLaura FonsecaFernando Nataniel VieiraKarina De Oliveira AzzolinOur objective was to identify factors associated with the duration of mechanical ventilation (MV) postoperative to cardiac surgery and assess the association between duration of endotracheal intubation, length of stay in the Intensive Care Unit (ICU) and hospital. Longitudinal, retrospective study of medical records of 116 adults undergoing cardiac surgery from March 2012 to May 2013. The mean age was 57±14 years, predominantly male and coronary artery bypass grafting surgery (52.6%). The MV time was 15.25(7.66 to 23.68) hours. Associated with longer MV was the age (r=0.5,p<0.001), comorbidities (r=0.344,p<0.001), cardiopulmonary bypass time (r=0.244,p=0.008), duration of continuous sedation (r=0.607,p<0.001), sedative doses (r=0.4, p<0.001), time of vasoconstrictors and vasodilators (r=0.711, p< 0.001, r=0.368, p<0.001), drainage of the 1st time (r=0.201, p<0.031), presence of drains (r=0.445, p<0.001), postoperative complications (r=0.524, p< 0.001) and hospital stay. Our data confirms that both preoperative, transoperative and postoperative variables prolong the VM and therefore the hospital stay.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472014000200067&lng=en&tlng=enCirugía torácicaExtubación traquealRespiración artificialComplicaciones postoperatoriasEnfermería perioperatoria
spellingShingle Laura Fonseca
Fernando Nataniel Vieira
Karina De Oliveira Azzolin
Factors associated to the length of time on mechanical ventilation in the postoperative period of cardiac surgery
Revista Gaúcha de Enfermagem
Cirugía torácica
Extubación traqueal
Respiración artificial
Complicaciones postoperatorias
Enfermería perioperatoria
title Factors associated to the length of time on mechanical ventilation in the postoperative period of cardiac surgery
title_full Factors associated to the length of time on mechanical ventilation in the postoperative period of cardiac surgery
title_fullStr Factors associated to the length of time on mechanical ventilation in the postoperative period of cardiac surgery
title_full_unstemmed Factors associated to the length of time on mechanical ventilation in the postoperative period of cardiac surgery
title_short Factors associated to the length of time on mechanical ventilation in the postoperative period of cardiac surgery
title_sort factors associated to the length of time on mechanical ventilation in the postoperative period of cardiac surgery
topic Cirugía torácica
Extubación traqueal
Respiración artificial
Complicaciones postoperatorias
Enfermería perioperatoria
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472014000200067&lng=en&tlng=en
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