You searched for:"Cristiane Delgado Alves Rodrigues"
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Original Articles
Reintubation of patients submitted to cardiac surgery: a retrospective analysis
Rev Bras Ter Intensiva. 2017;29(2):180-187
Abstract
Original ArticlesReintubation of patients submitted to cardiac surgery: a retrospective analysis
Rev Bras Ter Intensiva. 2017;29(2):180-187
DOI 10.5935/0103-507X.20170028
Views3See moreABSTRACT
Objectives:
To analyze patients after cardiac surgery that needed endotracheal reintubation and identify factors associated with death and its relation with the severity scores.
Methods:
Retrospective analysis of information of 1,640 patients in the postoperative period of cardiac surgery between 2007 and 2015.
Results:
The reintubation rate was 7.26%. Of those who were reintubated, 36 (30.3%) underwent coronary artery bypass surgery, 27 (22.7%) underwent valve replacement, 25 (21.0%) underwent correction of an aneurysm, and 8 (6.7%) underwent a heart transplant. Among those with comorbidities, 54 (51.9%) were hypertensive, 22 (21.2%) were diabetic, and 10 (9.6%) had lung diseases. Among those who had complications, 61 (52.6%) had pneumonia, 50 (42.4%) developed renal failure, and 49 (51.0%) had a moderate form of the transient disturbance of gas exchange. Noninvasive ventilation was performed in 53 (44.5%) patients. The death rate was 40.3%, and mortality was higher in the group that did not receive noninvasive ventilation before reintubation (53.5%). Within the reintubated patients who died, the SOFA and APACHE II values were 7.9 ± 3.0 and 16.9 ± 4.5, respectively. Most of the reintubated patients (47.5%) belonged to the high-risk group, EuroSCORE (> 6 points).
Conclusion:
The reintubation rate was high, and it was related to worse SOFA, APACHE II and EuroSCORE scores. Mortality was higher in the group that did not receive noninvasive ventilation before reintubation.
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Lung injury and mechanical ventilation in cardiac surgery: a review
Rev Bras Ter Intensiva. 2010;22(4):375-383
Abstract
Lung injury and mechanical ventilation in cardiac surgery: a review
Rev Bras Ter Intensiva. 2010;22(4):375-383
DOI 10.1590/S0103-507X2010000400011
Views0Respiratory failure after cardiopulmonary bypass heart surgery can result from many pre-, intra- or postoperative respiratory system-related factors. This review was aimed to discuss some factors related to acute lung injury observed during the postoperative period of cardiac surgery and the mechanical ventilation modalities which should be considered to prevent hypoxemia.
Keywords:AnoxiaCardiac surgical proceduresCardiopulmonary bypasslung injuryPostoperative periodRespiration, artificialRespiratory distress syndromeSee more
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Case reports Child Coronavirus infections COVID-19 Critical care Critical illness Extracorporeal membrane oxygenation Infant, newborn Intensive care Intensive care units Intensive care units, pediatric mechanical ventilation Mortality Physical therapy modalities Prognosis Respiration, artificial Respiratory insufficiency risk factors SARS-CoV-2 Sepsis