Risk Factors For Transient Dysfunction Of Gas Exchange After Cardiac Surgery [fatores De Risco Para Disfunção Transitória Da Troca Gasosa Após A Cirurgia Cardíaca]

dc.date2015
dc.date2016-06-03T20:15:52Z
dc.date2016-06-03T20:15:52Z
dc.date.accessioned2018-03-29T01:34:28Z
dc.date.available2018-03-29T01:34:28Z
dc.identifier
dc.identifierBrazilian Journal Of Cardiovascular Surgery. Sociedade Brasileira De Cirurgia Cardiovascular, v. 30, n. 1, p. 24 - 32, 2015.
dc.identifier1027638
dc.identifier10.5935/1678-9741.20140103
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84926384491&partnerID=40&md5=720200f6e823544e655698beb27cf042
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/238506
dc.identifier2-s2.0-84926384491
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1305167
dc.descriptionObjective: A retrospective cohort study was preformed aiming to verify the presence of transient dysfunction of gas exchange in the postoperative period of cardiac surgery and determine if this disorder is linked to cardiorespiratory events. Methods: We included 942 consecutive patients undergoing cardiac surgery and cardiac procedures who were referred to the Intensive Care Unit between June 2007 and November 2011. Results: Fifteen patients had acute respiratory distress syndrome (2%), 199 (27.75%) had mild transient dysfunction of gas exchange, 402 (56.1%) had moderate transient dysfunction of gas exchange, and 39 (5.4%) had severe transient dysfunction of gas exchange. Hypertension and cardiogenic shock were associated with the emergence of moderate transient dysfunction of gas exchange postoperatively (P=0.02 and P=0.019, respectively) and were risk factors for this dysfunction (P=0.0023 and P=0.0017, respectively). Diabetes mellitus was also a risk factor for transient dysfunction of gas exchange (P=0.03). Pneumonia was present in 8.9% of cases and correlated with the presence of moderate transient dysfunction of gas exchange (P=0.001). Severe transient dysfunction of gas exchange was associated with patients who had renal replacement therapy (P=0.0005), hemotherapy (P=0.0001), enteral nutrition (P=0.0012), or cardiac arrhythmia (P=0.0451). Conclusion: Preoperative hypertension and cardiogenic shock were associated with the occurrence of postoperative transient dysfunction of gas exchange. The preoperative risk factors included hypertension, cardiogenic shock, and diabetes. Postoperatively, pneumonia, ventilator-associated pneumonia, renal replacement therapy, hemotherapy, and cardiac arrhythmia were associated with the appearance of some degree of transient dysfunction of gas exchange, which was a risk factor for reintubation, pneumonia, ventilator-associated pneumonia, and renal replacement therapy in the postoperative period of cardiac surgery and cardiac procedures. © 2015, Sociedade Brasileira de Cirurgia Cardiovascular. All rights reserved.
dc.description30
dc.description1
dc.description24
dc.description32
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dc.description
dc.languageen
dc.publisherSociedade Brasileira de Cirurgia Cardiovascular
dc.relationBrazilian Journal of Cardiovascular Surgery
dc.rightsfechado
dc.sourceScopus
dc.titleRisk Factors For Transient Dysfunction Of Gas Exchange After Cardiac Surgery [fatores De Risco Para Disfunção Transitória Da Troca Gasosa Após A Cirurgia Cardíaca]
dc.typeArtículos de revistas


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