Document Detail


The influence of cardiopulmonary by-pass on respiratory function in patients who underwent coronary disease surgery.
MedLine Citation:
PMID:  24341053     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The study is designed to show influence of cardiopulmonary by-pass (CPB) on respiratory function in patients who underwent cardiac surgery.
PATIENTS AND METHODS: With respect on operative technique the patients were divided into two groups consisted of 40 patients, who underwent with or without CPB. On the bases of the hemodynamic measurements and counting alveolar arterial oxygen difference (A-a)DO2, saturation of mixed venous blood (SvO2), direct intrapulmonary shunt (V/Q) and hypoxemic score (PaO2/FiO2) preoperative and postoperative respiratory function in these patients is assumed. There were one preoperative and four postoperative measurements.
RESULTS AND DISCUSSION: Statistically significant difference is found between the examined groups between mean values of alveolar arterial oxygen difference (A-a)DO2 in three postoperative measurements (p = 0.035, p = 0.015 and p = 0.011), direct intrapulmonary shunt (V/Q) in four postoperative measurements (p = 0.037, p = 0.023, p = 0.014 and p = 0.04), saturation of mixed venous blood (SvO2) in four postoperative measurements (p = 0.01, p = 0.023, p = 0.020 and p = 0.020) and hypoxemic score (PaO2/FO2) in four postoperative measurements (p = 0.018, p = 0.028, p = 0.017 and p = 0.038). The comparative analyses of parameters of respiratory function in both groups showed increased degree of acute lung injury (ALI) in group of patients underwent CPB.
CONCLUSION: Early discovering parameters of acute lung injury in early postoperative period in patients underwent cardiac surgery with cardiopulmonary by-pass can prevent development of postoperative complications and duration of hospitalization. Key words:
Authors:
Alisa Krdzalic; Tomislav Klokocovnik; Goran Krdzalic; Suad Gaco
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical archives (Sarajevo, Bosnia and Herzegovina)     Volume:  67     ISSN:  0350-199X     ISO Abbreviation:  Med Arch     Publication Date:  2013  
Date Detail:
Created Date:  2013-12-13     Completed Date:  2014-02-04     Revised Date:  2014-07-07    
Medline Journal Info:
Nlm Unique ID:  101635337     Medline TA:  Med Arch     Country:  Bosnia and Hercegovina    
Other Details:
Languages:  eng     Pagination:  97-100     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Acute Lung Injury* / diagnosis,  epidemiology,  etiology,  physiopathology
Adult
Blood Gas Analysis / methods
Bosnia-Herzegovina
Cardiopulmonary Bypass* / adverse effects,  methods
Coronary Disease / surgery*
Early Diagnosis
Early Medical Intervention
Female
Humans
Incidence
Male
Middle Aged
Outcome Assessment (Health Care)
Postoperative Care / methods,  statistics & numerical data
Postoperative Complications* / diagnosis,  epidemiology,  physiopathology
Pulmonary Gas Exchange
Respiration
Respiratory System / physiopathology
Retrospective Studies

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


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