PMID: 3767515Oct 1, 1986Paper

Effect of pleurotomy on pulmonary function after median sternotomy

The Annals of Thoracic Surgery
M C StockT D McSweeney

Abstract

To determine whether pleurotomy during median sternotomy worsens postoperative pulmonary function, patients whose pleurae remained intact (N = 7) were compared with those whose pleural spaces were entered during median sternotomy (N = 31). Thirty-eight adults performed spirometry and N2 washout to determine functional residual capacity preoperatively and 2, 24, 48, and 72 hours after extubation. Two mediastinal drainage tubes were placed in every patient; no pleural drainage tubes were inserted. Chest roentgenograms were performed preoperatively and 24 and 72 hours after extubation. Preoperatively, functional residual capacity, forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and FEV1/FVC did not differ between groups. Postoperatively, in all patients developed a restrictive pulmonary defect, but mean functional residual capacity, FVC, FEV1 and FEV1/FVC did not differ between groups. In contrast to earlier reports, entering the pleural space did not worsen the restrictive pulmonary defect that results from median sternotomy when direct pleural drainage was avoided.

References

Mar 1, 1974·Canadian Anaesthetists' Society Journal·K W TurnbullA N Gerein

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Citations

Dec 1, 1994·The Annals of Thoracic Surgery·S V LichtensteinC R Thompson
Nov 21, 1997·Acta Anaesthesiologica Scandinavica·Z ShenkmanD Gross
Jun 1, 1990·Thorax·T J LockeG J Gibson
Oct 1, 1993·Journal of Cardiothoracic and Vascular Anesthesia·M RondayI van der Tweel
Apr 29, 1998·Chest·L E SamuelsS K Brockman
Sep 30, 2006·European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes·Alfredo ChettaDario Olivieri

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