Respiratory tactics during cardiopulmonary bypass in cardiac surgery
An important place in the structure of the causes of postoperative respiratory failure in cardiac surgery is occupied by atelectasis of the lung tissue, which is formed during cardiopulmonary bypass (CPB). The incidence of this complication makes 54–92%.The objective: to evaluate the effectiveness o...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
New Terra Publishing House
2021-05-01
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| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/513 |
| _version_ | 1797696828280406016 |
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| author | A. Yu. Kirillov A. G. Yavorovskiy M. A. Vyzhigina R. N. Komarov P. V. Nogtev P. S. Bagdasarov E. Yu. Khalikova D. A. Yavorovskaya I. I. No |
| author_facet | A. Yu. Kirillov A. G. Yavorovskiy M. A. Vyzhigina R. N. Komarov P. V. Nogtev P. S. Bagdasarov E. Yu. Khalikova D. A. Yavorovskaya I. I. No |
| author_sort | A. Yu. Kirillov |
| collection | DOAJ |
| description | An important place in the structure of the causes of postoperative respiratory failure in cardiac surgery is occupied by atelectasis of the lung tissue, which is formed during cardiopulmonary bypass (CPB). The incidence of this complication makes 54–92%.The objective: to evaluate the effectiveness of various respiratory support techniques during CPB.Subjects and methods. 60 patients were randomly included in the study. CPAP Group (positive airway pressure +5 cm H2O) and VC Group (lung ventilation during CPB with parameters: tidal volume 3 ml/kg, respiratory rate 6/min, positive end-expiratory pressure +5 cm H2O).Results. The oxygenation index in VC Group was higher than in CPAP Group at the stages after the end of CPB (289.6 ± 100.0 in VC Group and 223.1 ± 152.0 in CPAP Group), at the end of surgery (in VC Group 318,7 ± 73.8 and in CPAP Group 275.2 ± 90.0) The frequency of intraoperative (VC 16% and CPAP 43%) and postoperative recruiting lung maneuvers (VC 7% and CPAP 26%) in VC Group was lower versus CPAP Group. The incidence of atelectasis in VC Group (10%) decreased compared to CPAP (36.6%).Conclusion: Low-volume ventilation during cardiopulmonary bypass has a more favorable effect on the oxygenating function compared to respiratory support in the CPAP mode. |
| first_indexed | 2024-03-12T03:31:46Z |
| format | Article |
| id | doaj.art-5f2713b7f5214ab7ab080b082971436b |
| institution | Directory Open Access Journal |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| last_indexed | 2024-03-12T03:31:46Z |
| publishDate | 2021-05-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj.art-5f2713b7f5214ab7ab080b082971436b2023-09-03T13:24:38ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532021-05-01182404710.21292/2078-5658-2021-18-2-40-47437Respiratory tactics during cardiopulmonary bypass in cardiac surgeryA. Yu. Kirillov0A. G. Yavorovskiy1M. A. Vyzhigina2R. N. Komarov3P. V. Nogtev4P. S. Bagdasarov5E. Yu. Khalikova6D. A. Yavorovskaya7I. I. No8Первый Московский государственный медицинский университет им. И. М. СеченоваПервый Московский государственный медицинский университет им. И. М. СеченоваПервый Московский государственный медицинский университет им. И. М. СеченоваПервый Московский государственный медицинский университет им. И. М. СеченоваПервый Московский государственный медицинский университет им. И. М. СеченоваПервый Московский государственный медицинский университет им. И. М. СеченоваПервый Московский государственный медицинский университет им. И. М. СеченоваПервый Московский государственный медицинский университет им. И. М. СеченоваПервый Московский государственный медицинский университет им. И. М. СеченоваAn important place in the structure of the causes of postoperative respiratory failure in cardiac surgery is occupied by atelectasis of the lung tissue, which is formed during cardiopulmonary bypass (CPB). The incidence of this complication makes 54–92%.The objective: to evaluate the effectiveness of various respiratory support techniques during CPB.Subjects and methods. 60 patients were randomly included in the study. CPAP Group (positive airway pressure +5 cm H2O) and VC Group (lung ventilation during CPB with parameters: tidal volume 3 ml/kg, respiratory rate 6/min, positive end-expiratory pressure +5 cm H2O).Results. The oxygenation index in VC Group was higher than in CPAP Group at the stages after the end of CPB (289.6 ± 100.0 in VC Group and 223.1 ± 152.0 in CPAP Group), at the end of surgery (in VC Group 318,7 ± 73.8 and in CPAP Group 275.2 ± 90.0) The frequency of intraoperative (VC 16% and CPAP 43%) and postoperative recruiting lung maneuvers (VC 7% and CPAP 26%) in VC Group was lower versus CPAP Group. The incidence of atelectasis in VC Group (10%) decreased compared to CPAP (36.6%).Conclusion: Low-volume ventilation during cardiopulmonary bypass has a more favorable effect on the oxygenating function compared to respiratory support in the CPAP mode.https://www.vair-journal.com/jour/article/view/513респираторная поддержкаискусственное кровообращениеискусственная вентиляция легкихлегочные осложнениякардиохирургияпрофилактика осложнений |
| spellingShingle | A. Yu. Kirillov A. G. Yavorovskiy M. A. Vyzhigina R. N. Komarov P. V. Nogtev P. S. Bagdasarov E. Yu. Khalikova D. A. Yavorovskaya I. I. No Respiratory tactics during cardiopulmonary bypass in cardiac surgery Вестник анестезиологии и реаниматологии респираторная поддержка искусственное кровообращение искусственная вентиляция легких легочные осложнения кардиохирургия профилактика осложнений |
| title | Respiratory tactics during cardiopulmonary bypass in cardiac surgery |
| title_full | Respiratory tactics during cardiopulmonary bypass in cardiac surgery |
| title_fullStr | Respiratory tactics during cardiopulmonary bypass in cardiac surgery |
| title_full_unstemmed | Respiratory tactics during cardiopulmonary bypass in cardiac surgery |
| title_short | Respiratory tactics during cardiopulmonary bypass in cardiac surgery |
| title_sort | respiratory tactics during cardiopulmonary bypass in cardiac surgery |
| topic | респираторная поддержка искусственное кровообращение искусственная вентиляция легких легочные осложнения кардиохирургия профилактика осложнений |
| url | https://www.vair-journal.com/jour/article/view/513 |
| work_keys_str_mv | AT ayukirillov respiratorytacticsduringcardiopulmonarybypassincardiacsurgery AT agyavorovskiy respiratorytacticsduringcardiopulmonarybypassincardiacsurgery AT mavyzhigina respiratorytacticsduringcardiopulmonarybypassincardiacsurgery AT rnkomarov respiratorytacticsduringcardiopulmonarybypassincardiacsurgery AT pvnogtev respiratorytacticsduringcardiopulmonarybypassincardiacsurgery AT psbagdasarov respiratorytacticsduringcardiopulmonarybypassincardiacsurgery AT eyukhalikova respiratorytacticsduringcardiopulmonarybypassincardiacsurgery AT dayavorovskaya respiratorytacticsduringcardiopulmonarybypassincardiacsurgery AT iino respiratorytacticsduringcardiopulmonarybypassincardiacsurgery |