alexa Abstract | Comparison of Low Ventilation,No Ventilation and Continuous Positive Pressure Ventilation as Pulmonary Protection Strategy During Cardiopulmonary Bypass

Archives of Medicine
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Abstract

Introduction: Postoperative pulmonary dysfunctions (PPDs) are fairly common after cardiac surgery with cardiopulmonary bypass (CPB). Prevention of ischemiareperfusion injury is very important to prevent these complications. The authors examined effectiveness of low volume ventilation, no ventilation and continuous positive pressure (CPAP) ventilation during CPB to prevent PPDs.

Methods: 45 patients were enrolled and randomised to three groups. In group NVventilation stopped, in group V- ventilation continued with tidal volume 2 ml/kg, FiO2=50%, respiratory rate 14/ minute, inspiratory expiratory ratio 1:2 and PEEP 5 cm H2O, and in group C- CPAP of 10 cm H2O applied after application of cross clamp. Postoperative arterial blood gas values after induction, onset of CPB, removal of aortic cross clamp and discontinuation of CPB were measured. Inspiratory capacity on first and second postoperative day, extubation time, ICU recovery stay and total hospital stay were taken into consideration.

Results: Baseline patient parameters, type of surgery and CPB and cross clamp times were similar between the groups. PaO2 values were significantly higher in group V after removal of cross clamp. PaCO2 values were similar. Significant improvement of inspiratory capacity found in the low volume ventilation group. ICU recovery stay was lower in the low volume ventilation group. Other parameters did not show any significant result.

Conclusion: Low volume ventilation during CPB is associated with better oxygenation and pulmonary mechanics after cardiac surgery than CPAP or no ventilation. CPAP with 10 cm H2O does not significantly improve postoperative pulmonary function than no ventilation.

To read the full article Peer-reviewed Article PDF image

Author(s): Sandeep Kumar KarTanmoy GangulyChaitali Sen DasguptaAnupam Goswami

Keywords

CPAP, Acute Respiratory Distress Syndrome, CPB, Cardiology, Broken heart syndrome

 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords