Effects of lung recruitment maneuver and positiveend-expiratory pressure on lung volume, respiratory mechanics and alveolar gas mixing in patients ventilated after cardiac surgery

2002 ◽  
Vol 46 (6) ◽  
pp. 717-725 ◽  
Author(s):  
T. Dyhr ◽  
N. Laursen ◽  
A. Larsson
Keyword(s):  
Cardiac Surgery ◽  
Lung Volume ◽  
Respiratory Mechanics ◽  
Recruitment Maneuver ◽  
Lung Recruitment ◽  
Gas Mixing ◽  
Lung Recruitment Maneuver

Lung recruitment maneuver depresses hemodynamics in patients following cardiac surgery

2010 ◽  
Vol 58 (S 01) ◽  
Author(s):  
AH Kiessling ◽  
F Isgro ◽  
M Neher ◽  
A Lehmann ◽  
A Kornberger ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Recruitment Maneuver ◽  
Lung Recruitment ◽  
Lung Recruitment Maneuver

Effectiveness of end-expiratory lung volume measurements during the lung recruitment maneuver for patients with atelectasis

2013 ◽  
Vol 28 (4) ◽  
pp. 534.e1-534.e5 ◽  
Author(s):  
Susumu Nakahashi ◽  
Satoshi Gando ◽  
Takehiko Ishikawa ◽  
Takeshi Wada ◽  
Yuichiro Yanagida ◽  
...  
Keyword(s):  
Lung Volume ◽  
Recruitment Maneuver ◽  
Lung Recruitment ◽  
Lung Volume Measurements ◽  
Volume Measurements ◽  
Lung Recruitment Maneuver

Lung recruitment maneuver depresses central hemodynamics in patients following cardiac surgery

2005 ◽  
Vol 31 (9) ◽  
pp. 1189-1194 ◽  
Author(s):  
Jonas Nielsen ◽  
Morten Østergaard ◽  
Jesper Kjaergaard ◽  
Jens Tingleff ◽  
Preben G. Berthelsen ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Recruitment Maneuver ◽  
Lung Recruitment ◽  
Central Hemodynamics ◽  
Lung Recruitment Maneuver

scholarly journals PHARMACOLOGICAL AUGMENTATION OF LUNG RECRUITMENT EFFECTS LN THE THERAPY OF ACUTE RESPIRATORY DISTRESSSYNDROME AFTER CARDIAC SURGERY

2015 ◽  
Vol 7 (1) ◽  
pp. 7-14
Author(s):  
A E Bautin
Keyword(s):  
Cardiac Surgery ◽  
Recruitment Maneuver ◽  
Randomized Study ◽  
Lung Recruitment ◽  
Respiratory Support ◽  
Icu Stay ◽  
Combined Application ◽  
Significant Difference ◽  
Surfactant Administration ◽  
Endobronchial Administration

The aim. To estimate efficacious of combined application of lung recruitment maneuver (LR) and surfactant administration for the treatment of ARDS after cardiac surgery. Materials and methods. 33 cardiac surgery patients with ARDS were included in to prospective, controlled non-randomized study. LR technique was used in 14 patients, who were included into the "LR" group. In 19 cases LR were combined with endobronchial administration of surfactant (Surfactant-BL, ”Biosurf” Russia), these patients were included into the "LR and surfactant" group. Results. Significant difference from baseline FiO 2 observed after 12 h in "LR and surfactant" group and after 24 h in "LR" group. Significant decrease from the baseline PEEP was observed after 48 h in "LR and surfactant" group and after 72 h in "LR" group. The duration of respiratory support was shorter in the "LR and surfactant" group: 87,5 ± 35,3 h vs 175,3 ± 52,5, p <0,001. There was significant difference in the incidences of ventilator-associated pneumonia (VAP): 10.5% in the "LR and surfactant" group and 42.9% in the "LR" group, p <0,05. Furthermore, we found significant difference in the ICU stay period between groups: 132,5 ± 42,2 h in the "LR and surfactant" group vs 282,5 ± 110,2 h in the "LR" group, p <0,01. There was no significant difference between two groups In mortality rate: 3 (15.8%) in the "LR and surfactant" group and 3 (21.4%) in the "LR" group. Conclusions. The combination of LR and surfactant administration decrease the time of respiratory support and ICU stay, reduce the risk of VAP.

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