Effects of anesthetics on postoperative pulmonary complications in patients undergoing cardiac surgery
- VernacularTitle:麻醉药物对成人患者心脏术后肺部并发症的影响
- Author:
Leilei HE
1
;
Jiali JIANG
1
;
Shunhui DAI
1
;
Hai YU
1
Author Information
1. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
- Publication Type:Journal Article
- Keywords:
Anesthetics;
sevoflurane;
desflurane;
propofol;
cardiopulmonary bypass;
cardiac surgery;
postoperative pulmonary complications
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(03):339-343
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the association of anesthesia regime (volatile or intravenous anesthetics) with the occurrence of postoperative pulmonary complications (PPCs) in adult patients undergoing elective cardiac surgery under cardiopulmonary bypass (CPB). Methods The electronic medical records of 194 patients undergoing elective cardiac surgery under CPB at West China Hospital, Sichuan University between September 2018 and February 2019 were reviewed, including 92 males and 102 females with an average age of 53 years. The patients were classified into a volatile group (n=94) or a total intravenous anesthesia (TIVA) group (n=100) according to anesthesia regimen during surgery (including CPB). The primary outcome was the incidence of PPCs within first 7 d after surgery. Secondary outcomes included incidence of reintubation, duration of mechanical ventilation, ICU stay and hospital stay. Results There was no significant difference in the incidence of PPCs between the two groups (RR=1.020, 95%CI 0.763-1.363, P=0.896), with an incidence of 48.9% in the volatile group and 48.0% in the TIVA group. Secondary outcomes were also found no significant difference between the two groups (P>0.05). Conclusion No association of anesthesia regimen with the incidence of PPCs is found in adult patients undergoing elective cardiac surgery under CPB.
