Mechanical ventilation treatment on acute respiratory distress syndrome in operations by cardiopulmonary bypass.
- Author:
Liang CAO
1
;
Yi-feng YANG
;
Jin-fu YANG
Author Information
1. Department of Cardiothoracic Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Cardiopulmonary Bypass;
adverse effects;
Female;
Humans;
Male;
Respiration, Artificial;
methods;
Respiratory Distress Syndrome, Adult;
etiology;
therapy;
Retrospective Studies;
Young Adult
- From:
Journal of Central South University(Medical Sciences)
2007;32(6):1080-1084
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the early diagnosis of acute respiratory distress syndrome (ARDS) and the mechanical ventilation treatment in operations of cardiopulmonary bypass.
METHODS:Thirty-four patients with acute respiratory distress syndrome were divided into the traditional ventilation strategy plus positive end expiratory pressure (PEEP) group (n=13) and the protective ventilation strategy group (n=21), and their diagnosis and treatment were reviewed.
RESULTS:The average ventilator-carrying time in the protective ventilation strategy group and the traditional ventilation strategy plus PEEP group was (4.8+/-2.1) and (7.2+/-3.6) days,and the mortality was 23.8% and 61.5% respectively. There was statistical significance in the 2 groups (P<0.05).
CONCLUSION:The key to ARDS is the early diagnosis and ventilation strategy. Protective ventilation strategy in treating ARDS is more effective than the traditional ventilation strategy plus PEEP, and it can obviously shorten the ventilator-carrying time and reduce the mortality of ARDS.
