Continuous positive airway pressure versus noninvasive pressure support ventilation to treat atelectasis after cardiac surgery.

Anesthesia and Analgesia
Patrick PasquinaBara Ricou

Abstract

Atelectasis is common after cardiac surgery and may result in impaired gas exchange. Continuous positive airway pressure (CPAP) is often used to prevent or treat postoperative atelectasis. We hypothesized that noninvasive pressure support ventilation (NIPSV) by increasing tidal volume could improve the evolution of atelectasis more than CPAP. One-hundred-fifty patients admitted to our surgical intensive care unit (SICU) with a Radiological Atelectasis Score >or=2 after cardiac surgery were randomly assigned to receive either CPAP or NIPSV four times a day for 30 min. Positive end-expiratory pressure was set at 5 cm H(2)O in both groups. In the NIPSV group, pressure support was set to provide a tidal volume of 8-10 mL/kg. At SICU discharge, we observed an improvement of the Radiological Atelectasis Score in 60% of the patients with NIPSV versus 40% of those receiving CPAP (P = 0.02). There was no difference in oxygenation (Pao(2)/fraction of inspired oxygen at SICU discharge: 280 +/- 38 in the CPAP group versus 301 +/- 40 in the NIPSV group), pulmonary function tests, or length of stay. Minor complications, such as gastric distensions, were similar in the two groups. NIPSV was superior to CPAP regarding the improvement of atelec...Continue Reading

References

Apr 1, 1992·Anaesthesia·A N ThomasB J Pollard
Dec 1, 1991·Journal of Cardiothoracic and Vascular Anesthesia·U JainD E Wallis
Dec 1, 1991·Journal of Cardiothoracic and Vascular Anesthesia·U JainT L Rao
Jul 1, 1991·Chest·W C MillerD M Suich
Nov 1, 1980·The American Review of Respiratory Disease·H Pontoppidan
Jun 1, 1995·Intensive Care Medicine·K Richter LarsenS Jakobsen
Sep 28, 1995·The New England Journal of Medicine·L BrochardF Lemaire
Sep 1, 1995·American Journal of Respiratory and Critical Care Medicine·D JohnsonI Mayers
May 1, 1994·Acta Anaesthesiologica Scandinavica·I JouselaP Nikki
Dec 22, 1993·JAMA : the Journal of the American Medical Association·J R Le GallF Saulnier
Jun 13, 2001·The European Respiratory Journal·L Denehy, S Berney
Oct 24, 2001·American Journal of Respiratory and Critical Care Medicine·I AuriantF Parquin

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Citations

Mar 23, 2011·Intensive Care Medicine·D ChiumelloC Gregoretti
Oct 11, 2005·Critical Care Medicine·Dinis Reis MirandaDiederik Gommers
Feb 18, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Sean P KeenanUNKNOWN Canadian Critical Care Trials Group/Canadian Critical Care Society Noninvasive Ventilation Guidelines Group
Feb 6, 2014·British Journal of Anaesthesia·I GaruttiF Gónzalez-Aragoneses
Aug 13, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Giovanni LandoniLuca Cabrini
Sep 20, 2012·Anesthesiology Clinics·Patrick J Neligan
Jun 23, 2012·Annales Françaises D'anesthèsie Et De Rèanimation·A Ouattara, P Sarrabay
Jul 9, 2010·Best Practice & Research. Clinical Anaesthesiology·Samir JaberGerald Chanques
Dec 5, 2009·Archivos de bronconeumología·Pablo Rama-Maceiras
Feb 3, 2009·The Journal of Thoracic and Cardiovascular Surgery·Luca S De SantoMaurizio Cotrufo
Mar 15, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Naonori TashiroTaijiro Sueda
Dec 9, 2015·Best Practice & Research. Clinical Anaesthesiology·François LelloucheAlexandre Ouattara
Mar 16, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Vasileios ZochiosThomas Kriz
Nov 13, 2007·Acta Anaesthesiologica Scandinavica·F CavaliereS Masieri
Aug 8, 2015·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Yi YangMing Jia
Apr 18, 2015·Case Reports in Pediatrics·Luciana Carnevalli PereiraCristiane Aparecida Moran
Feb 24, 2015·Critical Care Research and Practice·Rafael BadenesF Javier Belda
Dec 20, 2014·Current Problems in Surgery·Liza A SzelkowskiPaul S Massimiano
Nov 18, 2015·Oxidative Medicine and Cellular Longevity·Emad Al JaalyGianni D Angelini
May 30, 2009·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·M Pons OdenaA Palomeque Rico
Dec 15, 2015·Seminars in Cardiothoracic and Vascular Anesthesia·Samuel Gilliland, Jason Brainard
Oct 1, 2011·World Journal for Pediatric & Congenital Heart Surgery·Peter C RimensbergerRonald A Bronicki
Jan 2, 2007·Current Opinion in Critical Care·François Lellouche
Jan 14, 2010·Anesthesiology·Samir JaberBoris Jung
Dec 19, 2009·Current Opinion in Anaesthesiology·Paolo Pelosi, Samir Jaber
Nov 29, 2007·Anesthesia and Analgesia·Javier Garcia-FernandezJavier F Belda
Dec 9, 2014·Current Opinion in Anaesthesiology·Carlos FerrandoFrancisco J Belda
Feb 12, 2014·Current Opinion in Anaesthesiology·Manuel García-DelgadoManuel Colmenero
Feb 15, 2013·Current Opinion in Anaesthesiology·Maurizio CeredaAmy J Reed
Dec 6, 2007·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Guilherme P P SchettinoValdelis Okamoto
Feb 24, 2012·Revista brasileira de cirurgia cardiovascular : órgão oficial da Sociedade Brasileira de Cirurgia Cardiovascular·Aline Marques FrancoAlfredo José Rodrigues
Mar 12, 2020·Intensive Care Medicine·Marc LeoneUNKNOWN Guideline contributors
Mar 15, 2006·Current Opinion in Anaesthesiology·Göran Hedenstierna, Arne Tenling
Nov 12, 2020·Lung·Tristan George Tanner, Mai O Colvin
Mar 1, 2019·The Journal of Thoracic and Cardiovascular Surgery·Xuandong JiangYanfei Shen

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