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The Annals of Thoracic Surgery, Vol 37, 295-300, Copyright © 1984 by The Society of Thoracic Surgeons

ARTICLES

Should the lungs be ventilated during cardiopulmonary bypass? Clinical, hemodynamic, and metabolic changes in patients undergoing elective coronary artery surgery

JL Svennevig, H Lindberg, O Geiran, BK Semb, M Abdelnor, S Ottesen and K Vatne

No beneficial effects were achieved by ventilating the lungs of a group of 10 patients during total extracorporeal circulation for coronary artery bypass operation. Ventilation of nonperfused lungs, which was suggested to prevent postoperative atelectasis, may even have negative effects. Intrapulmonary shunting increased significantly (p less than 0.05), while the shunt fraction in the nonventilated lungs of another group of 10 patients remained unchanged. There were only minor differences between the two groups with respect to systemic and pulmonary hemodynamic changes.




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Copyright © 1984 by The Society of Thoracic Surgeons.