Tags

Type your tag names separated by a space and hit enter

[Results of the treatment of cardiac surgery patients with postoperative acute respiratory distress syndrome by prone-position pulmonary ventilation].
Anesteziol Reanimatol. 2000 Sep-OctAR

Abstract

Prone position ventilation (PPV) became an effective method of management of ARDS since 1974. Its positive effects on arterial oxygenation have been amply described, but its impact on the results of treatment and hospital mortality remains a disputable point. We observed 2 groups of patients, 36 pts. each, with ARDS after cardiovascular surgery. The main causes of ARDS were shock syndrome, massive blood loss and transfusion, previous COPD, and postcardiopulmonary bypass ALI. Because of impaired lung function (PaO2/FiO2 < 200), all patients were supported by special methods of ventilation including PEEP, high FiO2, and PCV with inverse I:E ratio. In the main group, PPV was started on days 3.6 +/- 1.2 postoperation. Daily duration of PPV was 4-12 h, after which the patients were turned into a supine position. Controls were treated in a supine position. The groups were identical by age, sex, types of surgery, severity of ARF, and manifestations of MOSF. PPV improved lung function and arterial oxygenation. Clinical outcomes were better in the PPV group than in the controls: a lower frequency of threatening arrhythmia, better results of MOSF treatment, and lower mortality (69 and 33.4%, respectively). Prone position is an effective measure improving arterial oxygenation in patients with ARDS after cardiovascular surgery. The main results of PPV are decrease in complications induced by hypoxia and higher survival rate.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

rus

PubMed ID

11220935

Citation

Eremenko, A A., et al. "[Results of the Treatment of Cardiac Surgery Patients With Postoperative Acute Respiratory Distress Syndrome By Prone-position Pulmonary Ventilation]." Anesteziologiia I Reanimatologiia, 2000, pp. 42-5.
Eremenko AA, Egorov VM, Levikov DI. [Results of the treatment of cardiac surgery patients with postoperative acute respiratory distress syndrome by prone-position pulmonary ventilation]. Anesteziol Reanimatol. 2000.
Eremenko, A. A., Egorov, V. M., & Levikov, D. I. (2000). [Results of the treatment of cardiac surgery patients with postoperative acute respiratory distress syndrome by prone-position pulmonary ventilation]. Anesteziologiia I Reanimatologiia, (5), 42-5.
Eremenko AA, Egorov VM, Levikov DI. [Results of the Treatment of Cardiac Surgery Patients With Postoperative Acute Respiratory Distress Syndrome By Prone-position Pulmonary Ventilation]. Anesteziol Reanimatol. 2000 Sep-Oct;(5)42-5. PubMed PMID: 11220935.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Results of the treatment of cardiac surgery patients with postoperative acute respiratory distress syndrome by prone-position pulmonary ventilation]. AU - Eremenko,A A, AU - Egorov,V M, AU - Levikov,D I, PY - 2001/2/28/pubmed PY - 2001/5/1/medline PY - 2001/2/28/entrez SP - 42 EP - 5 JF - Anesteziologiia i reanimatologiia JO - Anesteziol Reanimatol IS - 5 N2 - Prone position ventilation (PPV) became an effective method of management of ARDS since 1974. Its positive effects on arterial oxygenation have been amply described, but its impact on the results of treatment and hospital mortality remains a disputable point. We observed 2 groups of patients, 36 pts. each, with ARDS after cardiovascular surgery. The main causes of ARDS were shock syndrome, massive blood loss and transfusion, previous COPD, and postcardiopulmonary bypass ALI. Because of impaired lung function (PaO2/FiO2 < 200), all patients were supported by special methods of ventilation including PEEP, high FiO2, and PCV with inverse I:E ratio. In the main group, PPV was started on days 3.6 +/- 1.2 postoperation. Daily duration of PPV was 4-12 h, after which the patients were turned into a supine position. Controls were treated in a supine position. The groups were identical by age, sex, types of surgery, severity of ARF, and manifestations of MOSF. PPV improved lung function and arterial oxygenation. Clinical outcomes were better in the PPV group than in the controls: a lower frequency of threatening arrhythmia, better results of MOSF treatment, and lower mortality (69 and 33.4%, respectively). Prone position is an effective measure improving arterial oxygenation in patients with ARDS after cardiovascular surgery. The main results of PPV are decrease in complications induced by hypoxia and higher survival rate. SN - 0201-7563 UR - https://www.unboundmedicine.com/medline/citation/11220935/[Results_of_the_treatment_of_cardiac_surgery_patients_with_postoperative_acute_respiratory_distress_syndrome_by_prone_position_pulmonary_ventilation]_ L2 - https://www.diseaseinfosearch.org/result/210 DB - PRIME DP - Unbound Medicine ER -