| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 56, 1123-1128, Copyright © 1993 by The Society of Thoracic Surgeons
DP Taggart, M el-Fiky, R Carter, A Bowman and DJ Wheatley
Respiratory dysfunction is a well-recognized complication of cardiac
operations. To quantify its current incidence and severity after
uncomplicated cardiopulmonary bypass, serial measurements of arterial
oxygen tension (PaO2), alveolar-arterial oxygen gradient (AaO2), and
percentage pulmonary shunt fraction (%PSF) measured by a noninvasive
technique were made in 129 patients (age, 59 +/- 8 years (mean +/- standard
deviation) with good left ventricular function (left ventricular
end-diastolic pressure < 15 mm Hg) undergoing isolated coronary artery
operations (group 1) and 30 patients undergoing general surgical procedures
(group 2). Measurements were made before operation and on the first,
second, and sixth postoperative days. Seven patients in group 1 who
required prolonged ventilation were excluded from further study. In group
1, between the preoperative and second postoperative days, there was a
marked fall in PaO2 [89 +/- 11 versus 57 +/- 9 mm Hg; p < 0.001] and a
marked increase in the AaO2 gradient [18 +/- 10 versus 50 +/- 11 mm Hg; p
< 0.001)] and %PSF [3 +/- 1% versus 19 +/- 6%; p < 0.001)] with only
modest improvement by the sixth postoperative day [PaO2, 67 +/- 11 mm Hg;
AaO2, 45 +/- 11 mm Hg; %PSF, 15 +/- 4]. There were similar but less severe
changes in PaO2 and AaO2 gradients in group 2 patients, with a return to
baseline values by day 6.(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Respiratory dysfunction after uncomplicated cardiopulmonary bypass
Department of Cardiac Surgery, Royal Infirmary, Glasgow, Scotland.
This article has been cited by other articles:
|
|
 |
|
  T. Abe, A. Usui, H. Oshima, T. Akita, and Y. Ueda A pilot randomized study of the neutrophil elastase inhibitor, Sivelestat, in patients undergoing cardiac surgery Interactive CardioVascular and Thoracic Surgery, August 1, 2009; 9(2): 236 - 240. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Zarbock, E. Mueller, S. Netzer, A. Gabriel, P. Feindt, and D. Kindgen-Milles Prophylactic Nasal Continuous Positive Airway Pressure Following Cardiac Surgery Protects From Postoperative Pulmonary Complications: A Prospective, Randomized, Controlled Trial in 500 Patients Chest, May 1, 2009; 135(5): 1252 - 1259. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. M. Carvalho, E. A Gabriel, and T. A Salerno Pulmonary Protection During Cardiac Surgery: Systematic Literature Review Asian Cardiovasc Thorac Ann, December 1, 2008; 16(6): 503 - 507. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. H. Lauruschkat, B. Arnrich, A. A. Albert, J. A. Walter, B. Amann, U. P. Rosendahl, T. Alexander, and J. Ennker Diabetes mellitus as a risk factor for pulmonary complications after coronary bypass surgery. J. Thorac. Cardiovasc. Surg., May 1, 2008; 135(5): 1047 - 1053. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. McFarlane and R. Kleinloog Does cold blood cardioplegia solution cause deterioration in clinical pulmonary function following coronary artery bypass graft surgery? Perfusion, March 1, 2007; 22(2): 103 - 113. [Abstract] [PDF]
|
|
|
|
|
|
S. C Clark Lung Injury after Cardiopulmonary Bypass Perfusion, July 1, 2006; 21(4): 225 - 228. [Abstract] [PDF]
|
|
|
|
 |
|
 U. Abdel-Rahman, F. Ozaslan, P. S. Risteski, S. Martens, A. Moritz, A. Al Daraghmeh, H. Keller, and G. Wimmer-Greinecker Initial Experience With a Minimized Extracorporeal Bypass System: Is There a Clinical Benefit? Ann. Thorac. Surg., July 1, 2005; 80(1): 238 - 243. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Gerrah, A. Elami, A. Stamler, A. Smirnov, and Z. Stoeger Preoperative Aspirin Administration Improves Oxygenation in Patients Undergoing Coronary Artery Bypass Grafting Chest, May 1, 2005; 127(5): 1622 - 1626. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Alexiou, A. T.M. Tang, S. V. Sheppard, M. P. Haw, R. Gibbs, and D. C. Smith A Prospective Randomized Study to Evaluate the Effect of Leukodepletion on the Rate of Alveolar Production of Exhaled Nitric Oxide During Cardiopulmonary Bypass Ann. Thorac. Surg., December 1, 2004; 78(6): 2139 - 2145. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Wynne and M. Botti Postoperative Pulmonary Dysfunction in Adults After Cardiac Surgery With Cardiopulmonary Bypass: Clinical Significance and Implications for Practice Am. J. Crit. Care., September 1, 2004; 13(5): 384 - 393. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Hamada, K. Kawachi, N. Tsunooka, Y. Nakamura, S. Takano, and H. Imagawa Capillary Leakage in Cardiac Surgery with Cardiopulmonary Bypass Asian Cardiovasc Thorac Ann, September 1, 2004; 12(3): 193 - 197. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Alexiou, A. A.T. Tang, S. V. Sheppard, D. C. Smith, R. Gibbs, S. A. Livesey, J. L. Monro, and M. P. Haw The effect of leucodepletion on leucocyte activation, pulmonary inflammation and respiratory index in surgery for coronary revascularisation: a prospective randomised study Eur. J. Cardiothorac. Surg., August 1, 2004; 26(2): 294 - 300. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. Eichler, M. J. Bechtel, S. Klaus, M. Heringlake, M. Hernandez, K. Toerber, K.-F. Klotz, and C. Bartels Na+/H+exchange inhibitor cariporide: effects on respiratory dysfunction after cardiopulmonary bypass Perfusion, January 1, 2004; 19(1): 33 - 40. [Abstract] [PDF]
|
|
|
|
|
|
H.-H Sievers, C. Freund-Kaas, S. Eleftheriadis, T. Fischer, H. Kuppe, E. G. Kraatz, and J.F. M. Bechtel Lung protection during total cardiopulmonary bypass by isolated lung perfusion: preliminary results of a novel perfusion strategy Ann. Thorac. Surg., October 1, 2002; 74(4): 1167 - 1172. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. P. Taggart Invited commentary Ann. Thorac. Surg., October 1, 2002; 74(4): 1172 - 1172. [Full Text] [PDF]
|
|
|
|
|
|
Y. J. Gu, P. Schoen, I. Tigchelaar, B. G. Loef, T. Ebels, A. J. Rankin, and W. van Oeveren Increased neutrophil priming and sensitization before commencing cardiopulmonary bypass in cardiac surgical patients Ann. Thorac. Surg., October 1, 2002; 74(4): 1173 - 1179. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Ascione, S. Al-Ruzzeh, K. Amer, and G. D Angelini Subsystem organ function during coronary surgery Perfusion, July 1, 2002; 17(4): 295 - 303. [Abstract] [PDF]
|
|
|
|
|
|
C. S.H. Ng, S. Wan, A. P.C. Yim, and A. A. Arifi Pulmonary Dysfunction After Cardiac Surgery* Chest, April 1, 2002; 121(4): 1269 - 1277. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Ashrafian and P. Davey Is Amiodarone an Underrecognized Cause of Acute Respiratory Failure in the ICU? Chest, July 1, 2001; 120(1): 275 - 282. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Bonacchi, E. Prifti, G. Giunti, A. Salica, G. Frati, and G. Sani Respiratory dysfunction after coronary artery bypass grafting employing bilateral internal mammary arteries: the influence of intact pleura Eur. J. Cardiothorac. Surg., June 1, 2001; 19(6): 827 - 833. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. P. Taggart Effects of a platelet-activating factor antagonist on lung injury and ventilation after cardiac operation Ann. Thorac. Surg., January 1, 2001; 71(1): 238 - 242. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Fabbri, J. Manfredi, C. Piccin, G. Soffiati, M. R. Carta, E. Gasparotto, and G. Nardon Systemic leukocyte filtration during cardiopulmonary bypass Perfusion, January 1, 2001; 16(1_suppl): 11 - 18. [Abstract] [PDF]
|
|
|
|
|
|
C. W. Marano, L. A. Garulacan, K. V. Laughlin, L. Igidbashian, C. Trace, S. M. Goldman, F. P. Sutter, G. A. Reichard Jr, and J. M. Mullin Plasma concentrations of soluble tumor necrosis factor receptor I and tumor necrosis factor during cardiopulmonary bypass Ann. Thorac. Surg., October 1, 2000; 70(4): 1313 - 1318. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. P. Taggart Respiratory dysfunction after cardiac surgery: effects of avoiding cardiopulmonary bypass and the use of bilateral internal mammary arteries Eur. J. Cardiothorac. Surg., July 1, 2000; 18(1): 31 - 37. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. M. Cox, R. Ascione, A. M. Cohen, I. M. Davies, I. G. Ryder, and G. D. Angelini Effect of cardiopulmonary bypass on pulmonary gas exchange: a prospective randomized study Ann. Thorac. Surg., January 1, 2000; 69(1): 140 - 145. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. K. Ferguson Preoperative Assessment of Pulmonary Risk Chest, May 1, 1999; 115 (2009): 58S - 63S. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Wimmer-Greinecker, M. Yosseef-Hakimi, T. Rinne, R. Buhl, G. Matheis, S. Martens, K. Westphal, and A. Moritz Effect of internal thoracic artery preparation on blood loss, lung function, and pain Ann. Thorac. Surg., April 1, 1999; 67(4): 1078 - 1082. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. J. Gu, P. W. Boonstra, A. A. Rijnsburger, J. Haan, and W. van Oeveren Cardiopulmonary Bypass Circuit Treated With Surface-Modifying Additives: A Clinical Evaluation of Blood Compatibility Ann. Thorac. Surg., May 1, 1998; 65(5): 1342 - 1347. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M G Macey, D A McCarthy, U H Trivedi, G E Venn, D J Chambers, and K A Brown Neutrophil adhesion molecule expression during cardiopulmonary bypass: a comparative study of roller and centrifugal pumps Perfusion, September 1, 1997; 12(5): 293 - 301. [Abstract] [PDF]
|
|
|
|
|
|
D. P. Taggart Leukocyte and platelet depletion with a blood cell separator J. Thorac. Cardiovasc. Surg., November 1, 1996; 112(5): 1406 - 1406. [Full Text]
|
|
|
|
|
|
Y. J. Gu, A. J. deVries, P. W. Boonstra, and W. van Oeveren LEUKOCYTE DEPLETION RESULTS IN IMPROVED LUNG FUNCTION AND REDUCED INFLAMMATORY RESPONSE AFTER CARDIAC SURGERY J. Thorac. Cardiovasc. Surg., August 1, 1996; 112(2): 494 - 500. [Abstract] [Full Text]
|
|
|
|
|
|
I. Birdi, I. A. Regragui, M. B. Izzat, C. Alonso, A. M. S. Black, A. J. Bryan, and G. D. Angelini Effects of Cardiopulmonary Bypass Temperature on Pulmonary Gas Exchange After Coronary Artery Operations Ann. Thorac. Surg., January 1, 1996; 61(1): 118 - 123. [Abstract] [Full Text]
|
|
|
|
 |
|
 P. Menasche, J. Peynet, N. Haeffner-Cavaillon, M.-P. Carreno, T. de Chaumaray, V. Dillisse, B. Faris, A. Piwnica, G. Bloch, and A. Tedgui Influence of Temperature on Neutrophil Trafficking During Clinical Cardiopulmonary Bypass Circulation, November 1, 1995; 92(9): 334 - 340. [Abstract] [Full Text]
|
|
|
|
|
|
F. Le Deist, P. Menasche, C. Kucharski, A. Bel, A. Piwnica, and G. Bloch Hypothermia During Cardiopulmonary Bypass Delays but Does Not Prevent Neutrophil– Endothelial Cell Adhesion : A Clinical Study Circulation, November 1, 1995; 92(9): 354 - 358. [Abstract] [Full Text]
|
|
|
|
|
|
S. J. Teasdale Scott Invited Commentary Ann. Thorac. Surg., May 1, 1995; 59(5): 1153 - 1154. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
