Experience of Using High-Frequency Lung Ventilation during Cardiopulmonary Bypass in Cardiac Surgery
The incidence of various postoperative complications including pulmonary ones is at a high level in a cardiac surgery.The objective: to evaluate the effectiveness of high-frequency lung ventilation during cardiopulmonary bypass as a preventive measure for postoperative pulmonary complications compar...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
New Terra Publishing House
2022-12-01
|
| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/735 |
| _version_ | 1797700370436194304 |
|---|---|
| author | A. Yu. Kirillov A. G. Yavorovskiy M. A. Vyzhigina R. N. Komаrov V. A. Aliev P. S. Bаgdаsаrov D. A. Yavorovskаya R. S. Kushanov E. A. Laricheva |
| author_facet | A. Yu. Kirillov A. G. Yavorovskiy M. A. Vyzhigina R. N. Komаrov V. A. Aliev P. S. Bаgdаsаrov D. A. Yavorovskаya R. S. Kushanov E. A. Laricheva |
| author_sort | A. Yu. Kirillov |
| collection | DOAJ |
| description | The incidence of various postoperative complications including pulmonary ones is at a high level in a cardiac surgery.The objective: to evaluate the effectiveness of high-frequency lung ventilation during cardiopulmonary bypass as a preventive measure for postoperative pulmonary complications compared to low-volume lung ventilation.Subjects and Methods. 60 patients undergoing cradiac surgery were included in the study. In HF Group (HF ventilation with airway pressure control at the frequency of 300/min, the ratio of duration of inhalation and exhalation is 1:2, mean airway pressure is 8 mbar) and VC Group (lung ventilation during CPB with parameters: tidal volume is 3 ml/kg, respiratory rate is 6/min, and positive end-expiratory pressure is +5 cm H2O).Results. No significant difference in the analysis of the oxygenation index were observed between groups. Frequency of pulmonary atelectasis on chest radiology in postoperative period made 3 (9%) in VC Group and 4 (12%) HF Group (p = 0.71). The frequency of intraoperative recruiting lung maneuvers was 5 (16%) in VС Group and 6 in HF Group (18%) (p = 0,75). The duration of postoperative ventilation did not differ between the groups.Conclusion. HF mechanical ventilation during CPB has no significant advantage over low-volume mechanical ventilation. HF mechanical ventilation and low-volume mechanical ventilation has the same protective effect on the oxygenating function of the lungs after CPB. |
| first_indexed | 2024-03-12T04:20:48Z |
| format | Article |
| id | doaj.art-53d124edc8f0444aafa4f096f4d1fe1d |
| institution | Directory Open Access Journal |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| last_indexed | 2024-03-12T04:20:48Z |
| publishDate | 2022-12-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj.art-53d124edc8f0444aafa4f096f4d1fe1d2023-09-03T10:33:18ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532022-12-01196414710.21292/2078-5658-2022-19-6-41-47560Experience of Using High-Frequency Lung Ventilation during Cardiopulmonary Bypass in Cardiac SurgeryA. Yu. Kirillov0A. G. Yavorovskiy1M. A. Vyzhigina2R. N. Komаrov3V. A. Aliev4P. S. Bаgdаsаrov5D. A. Yavorovskаya6R. S. Kushanov7E. A. Laricheva8Первый Московский государственный медицинский университет им. И. М. Сеченова МЗ РФ (Сеченовский университет)Первый Московский государственный медицинский университет им. И. М. Сеченова МЗ РФ (Сеченовский университет)Первый Московский государственный медицинский университет им. И. М. Сеченова МЗ РФ (Сеченовский университет)Первый Московский государственный медицинский университет им. И. М. Сеченова МЗ РФ (Сеченовский университет)Первый Московский государственный медицинский университет им. И. М. Сеченова МЗ РФ (Сеченовский университет)Первый Московский государственный медицинский университет им. И. М. Сеченова МЗ РФ (Сеченовский университет)Первый Московский государственный медицинский университет им. И. М. Сеченова МЗ РФ (Сеченовский университет)Первый Московский государственный медицинский университет им. И. М. Сеченова МЗ РФ (Сеченовский университет)Первый Московский государственный медицинский университет им. И. М. Сеченова МЗ РФ (Сеченовский университет)The incidence of various postoperative complications including pulmonary ones is at a high level in a cardiac surgery.The objective: to evaluate the effectiveness of high-frequency lung ventilation during cardiopulmonary bypass as a preventive measure for postoperative pulmonary complications compared to low-volume lung ventilation.Subjects and Methods. 60 patients undergoing cradiac surgery were included in the study. In HF Group (HF ventilation with airway pressure control at the frequency of 300/min, the ratio of duration of inhalation and exhalation is 1:2, mean airway pressure is 8 mbar) and VC Group (lung ventilation during CPB with parameters: tidal volume is 3 ml/kg, respiratory rate is 6/min, and positive end-expiratory pressure is +5 cm H2O).Results. No significant difference in the analysis of the oxygenation index were observed between groups. Frequency of pulmonary atelectasis on chest radiology in postoperative period made 3 (9%) in VC Group and 4 (12%) HF Group (p = 0.71). The frequency of intraoperative recruiting lung maneuvers was 5 (16%) in VС Group and 6 in HF Group (18%) (p = 0,75). The duration of postoperative ventilation did not differ between the groups.Conclusion. HF mechanical ventilation during CPB has no significant advantage over low-volume mechanical ventilation. HF mechanical ventilation and low-volume mechanical ventilation has the same protective effect on the oxygenating function of the lungs after CPB.https://www.vair-journal.com/jour/article/view/735респираторная поддержка, искусственное кровообращение, искусственная вентиляция легких, легочные осложнения, кардиохирургия, высокочастотная вентиляция |
| spellingShingle | A. Yu. Kirillov A. G. Yavorovskiy M. A. Vyzhigina R. N. Komаrov V. A. Aliev P. S. Bаgdаsаrov D. A. Yavorovskаya R. S. Kushanov E. A. Laricheva Experience of Using High-Frequency Lung Ventilation during Cardiopulmonary Bypass in Cardiac Surgery Вестник анестезиологии и реаниматологии респираторная поддержка, искусственное кровообращение, искусственная вентиляция легких, легочные осложнения, кардиохирургия, высокочастотная вентиляция |
| title | Experience of Using High-Frequency Lung Ventilation during Cardiopulmonary Bypass in Cardiac Surgery |
| title_full | Experience of Using High-Frequency Lung Ventilation during Cardiopulmonary Bypass in Cardiac Surgery |
| title_fullStr | Experience of Using High-Frequency Lung Ventilation during Cardiopulmonary Bypass in Cardiac Surgery |
| title_full_unstemmed | Experience of Using High-Frequency Lung Ventilation during Cardiopulmonary Bypass in Cardiac Surgery |
| title_short | Experience of Using High-Frequency Lung Ventilation during Cardiopulmonary Bypass in Cardiac Surgery |
| title_sort | experience of using high frequency lung ventilation during cardiopulmonary bypass in cardiac surgery |
| topic | респираторная поддержка, искусственное кровообращение, искусственная вентиляция легких, легочные осложнения, кардиохирургия, высокочастотная вентиляция |
| url | https://www.vair-journal.com/jour/article/view/735 |
| work_keys_str_mv | AT ayukirillov experienceofusinghighfrequencylungventilationduringcardiopulmonarybypassincardiacsurgery AT agyavorovskiy experienceofusinghighfrequencylungventilationduringcardiopulmonarybypassincardiacsurgery AT mavyzhigina experienceofusinghighfrequencylungventilationduringcardiopulmonarybypassincardiacsurgery AT rnkomarov experienceofusinghighfrequencylungventilationduringcardiopulmonarybypassincardiacsurgery AT vaaliev experienceofusinghighfrequencylungventilationduringcardiopulmonarybypassincardiacsurgery AT psbagdasarov experienceofusinghighfrequencylungventilationduringcardiopulmonarybypassincardiacsurgery AT dayavorovskaya experienceofusinghighfrequencylungventilationduringcardiopulmonarybypassincardiacsurgery AT rskushanov experienceofusinghighfrequencylungventilationduringcardiopulmonarybypassincardiacsurgery AT ealaricheva experienceofusinghighfrequencylungventilationduringcardiopulmonarybypassincardiacsurgery |