کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2978100 1179516 2009 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Mechanical ventilation strategy following Glenn and Fontan surgeries: On going challenge!
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Mechanical ventilation strategy following Glenn and Fontan surgeries: On going challenge!
چکیده انگلیسی

The Glenn and Fontan operations put the pulmonary and systemic circulations in series. It has been shown that positive pressure ventilation (PPV) decreases pulmonary blood flow (PBF) and cardiac output (CO), and negative pressure ventilation (NPV) significantly improves PBF and CO. If early extubation is not achievable, the postoperative ventilator management strategy should aim at promoting PBF and CO by lowering pulmonary vascular resistance (PVR) and intrathoracic pressure. Multiple ventilator strategies have been evaluated to optimize this physiology, including high frequency ventilation, hyperventilation post Glenn, hypoventilation post Glenn with buffered pH, and the use of inhaled nitric oxide as an adjunct therapy for mechanical ventilation. In this review, the results of these studies will be reviewed and discussed.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the Saudi Heart Association - Volume 21, Issue 3, July 2009, Pages 153–157
نویسندگان
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