Impact of drains positioning on pulmonary function after coronary artery bypass grafting: an observational study
Introduction: Coronary artery bypass grafting (CABG) is a procedure associated with a decline in pulmonary function. Among the main causes is the presence of the drain that is usually positioned in the intercostal or subxiphoid region. Objective: To measure the interference of drains positioning on...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-01-01
|
| Series: | Brazilian Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001421002591 |
| _version_ | 1797998468897177600 |
|---|---|
| author | Débora Santos de Oliveira Gomes Elzane Jesus de Almeida Silva Josimar Silva e Silva Hayssa de Cássia Mascarenhas Barbosa André Raimundo Guimarães André Luiz Lisboa Cordeiro |
| author_facet | Débora Santos de Oliveira Gomes Elzane Jesus de Almeida Silva Josimar Silva e Silva Hayssa de Cássia Mascarenhas Barbosa André Raimundo Guimarães André Luiz Lisboa Cordeiro |
| author_sort | Débora Santos de Oliveira Gomes |
| collection | DOAJ |
| description | Introduction: Coronary artery bypass grafting (CABG) is a procedure associated with a decline in pulmonary function. Among the main causes is the presence of the drain that is usually positioned in the intercostal or subxiphoid region. Objective: To measure the interference of drains positioning on pulmonary function in patients undergoing CABG. Methods: Observational study that assessed preoperative pulmonary function through vital capacity (VC), maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and peak expiratory flow (PEF). These variables were evaluated in three different moments: in the presence of two drains, when removing one, and after removing all drains. Results: We evaluated 45 patients with a mean age of 62 ± 7 years with male prevalence of 29 (64%) individuals. The insertion of drains caused a decline in pulmonary function after surgery by reducing MIP by 48%, MEP by 11%, VC by 39%, and PEF by 6%. Conclusion: This study has demonstrated that drains positioning after CABG surgery may produce weakness of the respiratory muscles, change ventilatory mechanics, and impair normal pulmonary function postoperatively. |
| first_indexed | 2024-04-11T10:49:12Z |
| format | Article |
| id | doaj.art-cb7f74025df249eaa80e8aa4599deb78 |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-04-11T10:49:12Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-cb7f74025df249eaa80e8aa4599deb782022-12-22T04:28:58ZengElsevierBrazilian Journal of Anesthesiology0104-00142022-01-017218387Impact of drains positioning on pulmonary function after coronary artery bypass grafting: an observational studyDébora Santos de Oliveira Gomes0Elzane Jesus de Almeida Silva1Josimar Silva e Silva2Hayssa de Cássia Mascarenhas Barbosa3André Raimundo Guimarães4André Luiz Lisboa Cordeiro5Faculdade Nobre, Feira de Santana, BA, BrazilFaculdade Nobre, Feira de Santana, BA, BrazilFaculdade Nobre, Feira de Santana, BA, BrazilFaculdade Nobre, Feira de Santana, BA, Brazil; Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, BrazilInstituto Nobre de Cardiologia, Feira de Santana, BA, BrazilFaculdade Nobre, Feira de Santana, BA, Brazil; Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brazil; Corresponding author.Introduction: Coronary artery bypass grafting (CABG) is a procedure associated with a decline in pulmonary function. Among the main causes is the presence of the drain that is usually positioned in the intercostal or subxiphoid region. Objective: To measure the interference of drains positioning on pulmonary function in patients undergoing CABG. Methods: Observational study that assessed preoperative pulmonary function through vital capacity (VC), maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and peak expiratory flow (PEF). These variables were evaluated in three different moments: in the presence of two drains, when removing one, and after removing all drains. Results: We evaluated 45 patients with a mean age of 62 ± 7 years with male prevalence of 29 (64%) individuals. The insertion of drains caused a decline in pulmonary function after surgery by reducing MIP by 48%, MEP by 11%, VC by 39%, and PEF by 6%. Conclusion: This study has demonstrated that drains positioning after CABG surgery may produce weakness of the respiratory muscles, change ventilatory mechanics, and impair normal pulmonary function postoperatively.http://www.sciencedirect.com/science/article/pii/S0104001421002591Coronary artery bypass graftingMechanical ventilationPostoperative pulmonary complicationsPulmonary functionMediastinal drainagePleural drainage |
| spellingShingle | Débora Santos de Oliveira Gomes Elzane Jesus de Almeida Silva Josimar Silva e Silva Hayssa de Cássia Mascarenhas Barbosa André Raimundo Guimarães André Luiz Lisboa Cordeiro Impact of drains positioning on pulmonary function after coronary artery bypass grafting: an observational study Brazilian Journal of Anesthesiology Coronary artery bypass grafting Mechanical ventilation Postoperative pulmonary complications Pulmonary function Mediastinal drainage Pleural drainage |
| title | Impact of drains positioning on pulmonary function after coronary artery bypass grafting: an observational study |
| title_full | Impact of drains positioning on pulmonary function after coronary artery bypass grafting: an observational study |
| title_fullStr | Impact of drains positioning on pulmonary function after coronary artery bypass grafting: an observational study |
| title_full_unstemmed | Impact of drains positioning on pulmonary function after coronary artery bypass grafting: an observational study |
| title_short | Impact of drains positioning on pulmonary function after coronary artery bypass grafting: an observational study |
| title_sort | impact of drains positioning on pulmonary function after coronary artery bypass grafting an observational study |
| topic | Coronary artery bypass grafting Mechanical ventilation Postoperative pulmonary complications Pulmonary function Mediastinal drainage Pleural drainage |
| url | http://www.sciencedirect.com/science/article/pii/S0104001421002591 |
| work_keys_str_mv | AT deborasantosdeoliveiragomes impactofdrainspositioningonpulmonaryfunctionaftercoronaryarterybypassgraftinganobservationalstudy AT elzanejesusdealmeidasilva impactofdrainspositioningonpulmonaryfunctionaftercoronaryarterybypassgraftinganobservationalstudy AT josimarsilvaesilva impactofdrainspositioningonpulmonaryfunctionaftercoronaryarterybypassgraftinganobservationalstudy AT hayssadecassiamascarenhasbarbosa impactofdrainspositioningonpulmonaryfunctionaftercoronaryarterybypassgraftinganobservationalstudy AT andreraimundoguimaraes impactofdrainspositioningonpulmonaryfunctionaftercoronaryarterybypassgraftinganobservationalstudy AT andreluizlisboacordeiro impactofdrainspositioningonpulmonaryfunctionaftercoronaryarterybypassgraftinganobservationalstudy |