Use of positive end‐expiratory pressure (20 cmH 2 O) for 60 s during elective heart surgery: A randomized clinical trial
In: Physiotherapy Research International ; volume 29, issue 2 ; ISSN 1358-2267 1471-2865, 2024
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Zugriff:
Background Although lung expansion therapy with positive end‐expiratory pressure (PEEP) following heart surgery is associated with positive clinical outcomes, whether such therapy can improve oxygenation and diminish the occurrence of lung complications when performed during heart surgery with extracorporeal circulation (ECC) is not yet clear. Objective Analyze the impact of lung expansion therapy with PEEP at 20 cmH 2 O for 60 s during elective heart surgery. Methods A randomized clinical trial was conducted. The experimental group (EG) ( n = 27) received PEEP at 20 cmH 2 O for 60 s during heart surgery at the moment in which ECC was ended. No intraoperative maneuver was performed in the control group (CG) ( n = 15). Results The incidence of atelectasis upon hospitalization and the pre‐maneuver oxygenation index (PaO 2 /FiO 2 ) were similar between the groups. A lower incidence of atelectasis in the immediate postoperative period (7.4%, p = 0.03) and shorter time on noninvasive mechanical ventilation (T NIMV ) (5.78 ± 2.54, p = 0.01) were found in the EG compared with the CG. Conclusions The application of PEEP at 20 cmH 2 O for 60 s during heart surgery reduces the incidence of atelectasis in the immediate postoperative period and shortens the T NIMV . This maneuver proved to be safe, with no adverse events.
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Use of positive end‐expiratory pressure (20 cmH 2 O) for 60 s during elective heart surgery: A randomized clinical trial
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Autor/in / Beteiligte Person: | Mafalda Fiorin, Ana Amália ; Schneider, Juliana ; Berwanger, Silvana Agnolleto ; Borghi‐Silva, Audrey ; Winkelmann, Eliane Roseli |
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Zeitschrift: | Physiotherapy Research International ; volume 29, issue 2 ; ISSN 1358-2267 1471-2865, 2024 |
Veröffentlichung: | Wiley, 2024 |
Medientyp: | academicJournal |
DOI: | 10.1002/pri.2071 |
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