Factors Associated With Prolonged Mechanical Ventilation Following Coronary Artery Bypass Surgery

Branca, Paul; McGaw, Patricia; Light, Richard W.

doi:10.1378/chest.119.2.537

Cited by 94 publications

(110 citation statements)

References 11 publications

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“…The gas exchange index is one of the parameters used as extubation criterion [16]. Diabetic patients have the mechanical ventilation time increased [20]. This may be one of the reasons that the gas exchange index was reduced in our patients as diabetes was one of the most frequent comorbidities evidenced.…”

Section: Discussionmentioning

confidence: 83%

“…With the gas exchange index, no significant difference was found between genders too. Some authors have found greater mechanical ventilation times for women [20,23]. Both genders presented with reduced mechanical respiratory variables, but these did not seem to alter the decision of extubation and consequently the mechanical ventilation time.…”

Section: Discussionmentioning

confidence: 95%

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Aspectos da função pulmonar após revascularização do miocárdio relacionados com risco pré-operatório

Ambrozin¹,

Catâneo²

2005

Rev Bras Cir Cardiovasc

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 95%

Aspectos da função pulmonar após revascularização do miocárdio relacionados com risco pré-operatório

Ambrozin¹,

Catâneo²

2005

Rev Bras Cir Cardiovasc

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“…[12][13][14] Due to a system of risk factors (such as the duration of surgery, anesthesia, clinical condition, mode of ventilator therapy, and method of weaning from mechanical ventilation), many patients should receive prolonged mechanical ventilation. [15][16][17] It was reported that the prolonged mechanical ventilation could prolong the hospital and intensive care unit (ICU) stay, 18) increase the burden of patients, and raise the risk of cerebral palsy, postoperative atrial fibrillation or ventilator-associated pneumonia.19-21) Thus, it is necessary to reduce the duration of mechanical ventilation in patients requiring prolonged mechanical ventilation.A previous study has showed that early rehabilitation therapy in ICU after CABG could significantly improve the outcomes of patients with less than 72 hours of mechanical ventilation.22) However, it is still unknown whether early rehabilitation therapy could improve the clinical outcomes and reduce the duration of mechanical ventilation in patients requiring over 72 hours of mechanical ventilation after CABG. Thus, we performed this study to evaluate the influence of early rehaFrom the…”

mentioning

confidence: 99%

mentioning

confidence: 99%

Early Rehabilitation Therapy Is Beneficial for Patients With Prolonged Mechanical Ventilation After Coronary Artery Bypass Surgery

Dong

Zhang

et al. 2016

Int. Heart J.

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SummaryWe investigated the effects of early rehabilitation therapy on prolonged mechanically ventilated patients after coronary artery bypass surgery (CABG).A total of 106 patients who underwent CABG between June 2012 and May 2015 were enrolled and randomly assigned into an early rehabilitation group (53 cases) and a control group (53 cases). The rehabilitation therapy consisted of 6 steps including head up, transferring from supination to sitting, sitting on the edge of bed, sitting in a chair, transferring from sitting to standing, and walking along a bed. The patients received rehabilitation therapy in the intensive care unit (ICU) after CABG in the early rehabilitation group. The control group patients received rehabilitation therapy after leaving the ICU.The results showed that the early rehabilitation therapy could significantly decrease the duration of mechanical ventilation (early rehabilitation group: 8.1 ± 3.3 days; control group: 13.9 ± 4.1 days, P < 0.01), hospital stay (early rehabilitation group: 22.0 ± 3.8 days; control group: 29.1 ± 4.6 days, P < 0.01), and ICU stay (early rehabilitation group: 11.7 ± 3.2 days; control group: 18.3 ± 4.2 days, P < 0.01) for patients requiring more than 72 hours prolonged mechanical ventilation. The results of Kaplan-Meier analysis showed that the proportions of patients remaining on mechanical ventilation in the early rehabilitation group were larger than that in the control group after 7 days of rehabilitation therapy (logrank test: P < 0.01).The results provide evidence for supporting the application of early rehabilitation therapy in patients requiring prolonged mechanical ventilation after CABG. (Int Heart J 2016; 57: 241-246) Key words: Postoperative recovery, Hospital stay, Randomized controlled trial, Intensive care unit C oronary artery disease is the primary cause of death worldwide. 1) Coronary artery bypass surgery (CABG) is commonly used for patients with severe coronary artery disease at the left anterior descending artery, circumflex artery, and right coronary artery.2,3) Cardiac rehabilitation is used for improving functional capacity and reducing cardiovascular mortality and morbidity in patients undergoing CABG. [4][5][6] Previous studies have shown that rehabilitation therapy could significantly reduce the length of hospitalization time, costs and complications, promote cardiac function recovery, and improve the quality of life in patients who underwent CABG. [7][8][9][10][11] Mechanical ventilation was routinely applied after CABG to reduce the power consumption of the respiratory system and the cardiac burden to improve postoperative cardiac recovery. [12][13][14] Due to a system of risk factors (such as the duration of surgery, anesthesia, clinical condition, mode of ventilator therapy, and method of weaning from mechanical ventilation), many patients should receive prolonged mechanical ventilation. [15][16][17] It was reported that the prolonged mechanical ventilation could prolong the hospital and intensive care unit (ICU) stay, 18) incre...

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“…Issues related to blood transfusion and volume status in the operating room, are among the most important intraoperative factors predicting the occurrence of postoperative respiratory problems (4,(10)(11)(12)(13)(14)(15). In one study, it was demonstrated that these factors had a determining role in postoperative pulmonary morbidity and mortality, mainly through their effects on the occurrence of readmission after cardiac surgery with fast-track recovery, in this study, the main reason for ICU readmission was respiratory distress.…”

Section: Blood Transfusion and Volume Balancementioning

confidence: 49%

Risk Factors for Postoperative Respiratory Mortality and Morbidity in Patients Undergoing Coronary Artery Bypass Grafting

Rajaei

Dabbagh²

2012

anesthpain

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Factors Associated With Prolonged Mechanical Ventilation Following Coronary Artery Bypass Surgery

Cited by 94 publications

References 11 publications

Aspectos da função pulmonar após revascularização do miocárdio relacionados com risco pré-operatório

Aspectos da função pulmonar após revascularização do miocárdio relacionados com risco pré-operatório

Early Rehabilitation Therapy Is Beneficial for Patients With Prolonged Mechanical Ventilation After Coronary Artery Bypass Surgery

Risk Factors for Postoperative Respiratory Mortality and Morbidity in Patients Undergoing Coronary Artery Bypass Grafting

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