HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Stock, M. C. Articles by McSweeney, T. D. Search for Related Content PubMed PubMed Citation Articles by Stock, M. C. Articles by McSweeney, T. D.

The Annals of Thoracic Surgery, Vol 42, 441-444, Copyright © 1986 by The Society of Thoracic Surgeons

ARTICLES

Effect of pleurotomy on pulmonary function after median sternotomy

MC Stock, JB Downs, D Weaver, IM Lebenson, J Cleveland and TD McSweeney

To determine whether pleurotomy during median sternotomy worsens postoperative pulmonary function, patients whose pleurae remained intact (N = 7) were compared with those whose pleural spaces were entered during median sternotomy (N = 31). Thirty-eight adults performed spirometry and N2 washout to determine functional residual capacity preoperatively and 2, 24, 48, and 72 hours after extubation. Two mediastinal drainage tubes were placed in every patient; no pleural drainage tubes were inserted. Chest roentgenograms were performed preoperatively and 24 and 72 hours after extubation. Preoperatively, functional residual capacity, forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and FEV1/FVC did not differ between groups. Postoperatively, in all patients developed a restrictive pulmonary defect, but mean functional residual capacity, FVC, FEV1 and FEV1/FVC did not differ between groups. In contrast to earlier reports, entering the pleural space did not worsen the restrictive pulmonary defect that results from median sternotomy when direct pleural drainage was avoided.

This article has been cited by other articles:

				A. Rostron and J. Dunning Does deflating the lungs and sawing from the xiphisternum reduce the chance of accidental pleurotomy during sternotomy? Interactive CardioVascular and Thoracic Surgery, June 1, 2005; 4(3): 272 - 274. [Abstract] [Full Text] [PDF]

				M. Ura, R. Sakata, Y. Nakayama, Y. Arai, S. Oshima, K. Noda, and M. Kitaoka Technical aspects and outcome of in situ right internal thoracic artery grafting to the major branches of the circumflex artery via the transverse sinus Ann. Thorac. Surg., May 1, 2001; 71(5): 1485 - 1490. [Abstract] [Full Text] [PDF]

				M. Bauer, M. Pasic, R. Ewert, and R. Hetzer Ministernotomy versus complete sternotomy for coronary bypass operations: No difference in postoperative pulmonary function J. Thorac. Cardiovasc. Surg., April 1, 2001; 121(4): 702 - 707. [Abstract] [Full Text] [PDF]