Comparison of different tidal volume mechanical ventilation strategy on infants with severe congenital heart disease after curative
10.3760/cma.j.issn.1673-4912.2013.06.010
- VernacularTitle:不同潮气量机械通气治疗重症先天性心脏病术后疗效分析
- Author:
Yuqing CHEN
;
Yang SHEN
;
Hong WU
;
Wenqing ZHU
;
Jian ZHANG
;
Yanna FU
- Publication Type:Journal Article
- Keywords:
Tidal volumes;
Mechanical ventilation;
Congenital heart disease;
Infants
- From:
Chinese Pediatric Emergency Medicine
2013;20(6):587-589,592
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyse the difference of effects of different tidal volume mechanical ventilation strategies in infants with severe congenital heart disease after curative.Methods Sixty-eight cases were chosen from CICU of Anhui Provincial Children's Hospital during Oct 2010 to Jan 2012.Thirty-two cases in A group were used in ventilation strategy by lower tidal volumes (6 ～ 10 ml/kg),36 cases in B group were used in ventilation strategy by larger tidal volumes (10 ～ 15 ml/kg).The time of mechanical ventilation,duration of ICU stay and postoperative complications were compared between the two groups.Results The time of mechanical ventilation of B group was shorter than that of A group [(8.6 ± 2.5) d vs (11.7 ± 3.2) d],duration of ICU stay of B group was shorter than that of A group [(11.4 ± 4.8) d vs (15.6 ± 5.7) d],there were statistical differences between two groups(P ＜ 0.0l).The incidence rate of ventilator associated pneumonia and pneumothorax were 6.3％ and 3.1％ in A group,which were 5.6％ and 5.6％ in B group,there were no statistical differences between two groups (P ＞ 0.05).Conclusion The effects of mechanical ventilation with larger tidal volumes is better than that with lower tidal volumes in infants with congenital heart disease postoperative therapy.
