Document Detail


Right ventricular function and high-frequency positive-pressure ventilation during coronary artery bypass grafting.
MedLine Citation:
PMID:  2669649     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The hemodynamic and respiratory consequences of two modes of ventilation, conventional intermittent positive-pressure ventilation with a frequency of 10 cycles/min and high-frequency positive-pressure ventilation at 70 cycles/min were investigated before and after cardiopulmonary bypass in 6 patients having coronary artery bypass grafting. All patients were adequately ventilated with each mode. During prebypass and postbypass periods, the group with high-frequency ventilation had significantly lower peak airway pressures (p = 0.0001) and mean airway pressure (p less than 0.05). There were, however, no significant differences in right ventricular performance or pulmonary vascular resistance between the two modes of ventilation. No significant differences in other cardiovascular and respiratory variables were noted. High-frequency positive-pressure ventilation, with the advantage of quieter operating conditions and improved surgical access, can be safely applied when meticulous operation or hemostasis is required or during dissection of the internal mammary artery.
Authors:
M Nakatsuka; A Colquhoun; L Gehr
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  48     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1989 Aug 
Date Detail:
Created Date:  1989-09-20     Completed Date:  1989-09-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  263-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology, Medical College of Virginia, Richmond.
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MeSH Terms
Descriptor/Qualifier:
Adult
Coronary Artery Bypass*
Heart / physiopathology*
Hemodynamics*
High-Frequency Ventilation*
Humans
Intraoperative Period
Middle Aged
Positive-Pressure Respiration
Postoperative Period
Vascular Resistance

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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