[Evaluation of pulmonary function in patients undergoing cardiac surgery with cardiopulmonary bypass.].

Abstract:

BACKGROUND AND OBJECTIVES:Pulmonary complications are still a major postoperative problem for cardiac surgeries with cardiopulmonary bypass (CPB). This study aimed at evaluating pulmonary function changes in patients undergoing myocardial revascularization, as compared to those submitted to valve replacement. METHODS:Participated in this study patients undergoing myocardial revascularization (MR Group, n=15) and valve replacement (VR Group, n=15) who were evaluated by the ratio between oxygen blood pressure and its inspired fraction (PaO2/FiO2), oxygen alveolar-arterial gradient (GA-aO2), pulmonary shunt, best compliance PEEP and static PEEP, evaluated in the preoperative period, after anesthetic induction, 1, 3 and 6 postoperative hours and 1st and 2nd postoperative days. Data were analyzed by analysis of variance for repeated measures (p < 0.05). RESULTS:Alveolar-arterial gradient and pulmonary shunt results were significantly higher for the MR group as compared to the VR group. PaO2/FiO2 ratio was significantly higher in the VR group. There were no differences between groups in static compliance. Postoperative best compliance PEEP was significantly higher in the MR group as compared to the VR group. CONCLUSIONS:Our study has shown that patients submitted to myocardial revascularization presented pulmonary function changes different from those submitted to valve replacement.

journal_name

Rev Bras Anestesiol

authors

Barbosa RA,Carmona MJ

doi

10.1590/s0034-70942002000600005

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

689-99

issue

6

eissn

0034-7094

issn

1806-907X

pii

S0034-70942002000600005

journal_volume

52

pub_type

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