Araştırma Makalesi

Cardiopulmonary Bypass and Perioperative Mechanical Ventilation Strategy: National Turkey Study

Cilt: 19 Sayı: 2 22 Temmuz 2024
Yavuz Orak , Feyza Çalışır *, Hafize Öksüz , Türkan Kudsioglu , Ömer Faruk Boran , İlker Solmaz , Adem Doğaner
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Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Kapak Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi
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Cardiopulmonary Bypass and Perioperative Mechanical Ventilation Strategy: National Turkey Study

Abstract

Objective: This study aims to describe anesthesiologists' perioperative mechanical ventilation strategies in cases where cardiopulmonary bypass (CPB) is performed in Turkey. Material and Methods: Survey questions were sent twice via e-mail to members of the two associations consisting of specialists in Anesthesiology and Reanimation. The questions were divided into three parts to determine anesthesia applications and mechanical ventilation strategies in the preoperative, intraoperative, and postoperative periods of CPB. Results: The questionnaire was provided with the participation of 269 anesthesiologists. 105 (40.2%) participants stated that the number of intensive care unit beds in their hospital was over 20. A 6 ml/kg (42.5%) coefficient is preferred in calculating tidal volume outside the CPB process. The number of participants who preferred low (0-5 cmH2O) positive end-expiratory pressure (PEEP) throughout the surgery was 41.1%. 40.8% of the participants prefer 5-10 cmH2O PEEP in “hemodynamically stable and obese patients”. During the CPB process, 38.3% of the participants turned off the mechanical ventilator, and 24.4 % preferred to wean the patient from the mechanical ventilator. While 35.8 % of anesthesia specialists preferred recruitment maneuvers, 38.9% did not. It was concluded that 51% of the participants preferred non-invasive ventilation in patients with hypoxemia/hypercapnia, and 55.1% applied pulmonary rehabilitation after extubation to all patients. Conclusion: Our study showed that the mechanical ventilation strategies followed by most anesthesiologists in CPB in Turkey are similar.

Keywords

Anesthesiologists , Cardiopulmonary Bypass , Cardiac Surgery , Guidelines , Mechanical Ventilation.

Kaynakça

  1. Fischer MO, Brotons F, Briant AR, Suehiro K, Gozdzik W, Sponholz C, et al. Postoperative Pulmonary Complications After Cardiac Surgery: The VENICE International Cohort Study. J Cardiothorac Vasc Anesth. 2022 Aug;36(8 Pt A):2344-2351.
  2. Lagier D, Velly LJ, Guinard B, Bruder N, Guidon C, Vidal Melo MF, et al. Perioperative Open-lung Approach, Regional Ventilation, and Lung Injury in Cardiac Surgery. Anesthesiology. 2020;133(5):1029-1045.
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  7. Wang YC, Huang CH, Tu YK. Effects of Positive Airway Pressure and Mechanical Ventilation of the Lungs During Cardiopulmonary Bypass on Pulmonary Adverse Events After Cardiac Surgery: A Systematic Review and Meta-Analysis. J Cardiothorac Vasc Anesth. 2018;32(2):748-759.
  8. Nguyen LS, Estagnasie P, Merzoug M, Brusset A, Law Koune JD, Aubert S, et al. Low Tidal Volume Mechanical Ventilation Against No Ventilation During Cardiopulmonary Bypass in Heart Surgery (MECANO): A Randomized Controlled Trial. Chest. 2021;159(5):1843-1853.
  9. Lagier D, Fischer F, Fornier W, Fellahi JL, Colson P, Cholley B, et al. A perioperative surgeon-controlled open-lung approach versus conventional protective ventilation with low positive end-expiratory pressure in cardiac surgery with cardiopulmonary bypass (PROVECS): study protocol for a randomized controlled trial. Trials. 2018;19(1):624.
  10. Bignami E, Guarnieri M, Saglietti F, Belletti A, Trumello C, Giambuzzi I, et al. Mechanical Ventilation During Cardiopulmonary Bypass. J Cardiothorac Vasc Anesth. 2016;30(6):1668-1675.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Erken Görünüm Tarihi

11 Temmuz 2024

Yayımlanma Tarihi

22 Temmuz 2024

Gönderilme Tarihi

5 Nisan 2023

Kabul Tarihi

29 Eylül 2023

Yayımlandığı Sayı

Yıl 2024 Cilt: 19 Sayı: 2

DOI

https://doi.org/10.17517/ksutfd.1277664

IZ

https://izlik.org/JA34FU34LJ

Kaynak Göster

RIS / Bibtex
AMA
1.Orak Y, Çalışır F, Öksüz H, vd. Cardiopulmonary Bypass and Perioperative Mechanical Ventilation Strategy: National Turkey Study. KSÜ Tıp Fak Der. 2024;19(2):5-14. doi:10.17517/ksutfd.1277664