Abstract
One of the most worrisome complications of cardiac surgery is a decline in pulmonary function severe enough to necessitate prolonged mechanical ventilator support. Risk factors for prolonged mechanical ventilation include advanced age, preoperative decline in forced expiratory volume in 1 second, postoperative renal dysfunction, severe left ventricular dysfunction, and pulmonary hypertension. Pulmonary complications that can occur after cardiac surgery include atelectasis, diaphragmatic dysfunction, pulmonary edema, acute respiratory distress syndrome, pulmonary embolism, and infection. The most common cause of postoperative pulmonary edema is preexisting poor left ventricular function, coupled with the negative inotropic effects of anesthesia and left ventricular diastolic dysfunction. Chest radiographs can detect many of these complications; however, CT scanning may be better at detecting bibasilar atelectasis.
| Original language | English |
|---|---|
| Pages (from-to) | 266-273 |
| Number of pages | 8 |
| Journal | Journal of Critical Illness |
| Volume | 18 |
| Issue number | 6 |
| State | Published - Jun 1 2003 |
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Keywords
- Causes of complications
- Chest radiographic findings
- Clinical Conclusions
- Respiratory inductive plethysmography
- Weaning methods
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine
Cite this
What are the risks of pulmonary complications after cardiac surgery? Prolonged ventilation can be a major obstacle. / El-Chemaly, Souheil; Abreu, Alexandre; Krieger, Bruce P.
In: Journal of Critical Illness, Vol. 18, No. 6, 01.06.2003, p. 266-273.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - What are the risks of pulmonary complications after cardiac surgery? Prolonged ventilation can be a major obstacle
AU - El-Chemaly, Souheil
AU - Abreu, Alexandre
AU - Krieger, Bruce P.
PY - 2003/6/1
Y1 - 2003/6/1
N2 - One of the most worrisome complications of cardiac surgery is a decline in pulmonary function severe enough to necessitate prolonged mechanical ventilator support. Risk factors for prolonged mechanical ventilation include advanced age, preoperative decline in forced expiratory volume in 1 second, postoperative renal dysfunction, severe left ventricular dysfunction, and pulmonary hypertension. Pulmonary complications that can occur after cardiac surgery include atelectasis, diaphragmatic dysfunction, pulmonary edema, acute respiratory distress syndrome, pulmonary embolism, and infection. The most common cause of postoperative pulmonary edema is preexisting poor left ventricular function, coupled with the negative inotropic effects of anesthesia and left ventricular diastolic dysfunction. Chest radiographs can detect many of these complications; however, CT scanning may be better at detecting bibasilar atelectasis.
AB - One of the most worrisome complications of cardiac surgery is a decline in pulmonary function severe enough to necessitate prolonged mechanical ventilator support. Risk factors for prolonged mechanical ventilation include advanced age, preoperative decline in forced expiratory volume in 1 second, postoperative renal dysfunction, severe left ventricular dysfunction, and pulmonary hypertension. Pulmonary complications that can occur after cardiac surgery include atelectasis, diaphragmatic dysfunction, pulmonary edema, acute respiratory distress syndrome, pulmonary embolism, and infection. The most common cause of postoperative pulmonary edema is preexisting poor left ventricular function, coupled with the negative inotropic effects of anesthesia and left ventricular diastolic dysfunction. Chest radiographs can detect many of these complications; however, CT scanning may be better at detecting bibasilar atelectasis.
KW - Causes of complications
KW - Chest radiographic findings
KW - Clinical Conclusions
KW - Respiratory inductive plethysmography
KW - Weaning methods
UR - http://www.scopus.com/inward/record.url?scp=0038462291&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0038462291&partnerID=8YFLogxK
M3 - Article
VL - 18
SP - 266
EP - 273
JO - Journal of Critical Illness
JF - Journal of Critical Illness
SN - 1040-0257
IS - 6
ER -