Author Design Patients Mechanical Ventilation Procedure OxygenationParameter Outcome
Reis (59) RCT N = 69 1. Conventional
2. Early OLV
3. Late OLV
CABG/valve Sp02 -CLV: 37% hypoxic on 3rd day after extubation.
-OLV: none
Celebi (47) RCT N = 60 1. CPAP of 40
2. PEEP of 20
3. PEEP of 5
CPB PaO2/FIO2 Pa02/FiO2 higher in CPAP 40, and PEEP 20 cm H20 groups compared with PEEP of 5 group (30)
Reis (45) RCT N = 62 1. Conventional
2. Early OLV
3. Late OLV
CABG/valve NA -↓IL-8 more rapidly in OLV groups
-↓Il-10 more rapidly only in early OLV
Dyhr (46) RCT N = 16 1. RM→PEEP 1 cm H20 >LIP 2. RM only CABG Pa02 -Pa02 16
+/- 16 KPa
-No change from baseline
CLV; conventional lung ventilation, OLV; open lung ventilation, 1,2,3; refer to group numbers, LIP; lower inflection point, PEEP; positive end expiratory pressure, RM; recruitment maneuver, PaO2; partial pressure of oxygen.
Table 1: Studies of PEEP in Patients Undergoing Cardiopulmonary Bypass.