反对观点：体外循环期间的机械通气并不能改善心脏手术后的预后。 - Suppr

Con: Mechanical Ventilation During Cardiopulmonary Bypass Does Not Improve Outcomes After Cardiac Surgery.

作者信息

Dryer Chinwe, Tolpin Daniel, Anton James

机构信息

Division of Cardiovascular Anesthesiology, Texas Heart Institute, Baylor St. Luke's Medical Center, Houston, TX; Department of Anesthesiology, Baylor College of Medicine, Houston, TX.

出版信息

J Cardiothorac Vasc Anesth. 2018 Aug;32(4):2001-2004. doi: 10.1053/j.jvca.2018.02.030. Epub 2018 Feb 22.

DOI:10.1053/j.jvca.2018.02.030

PMID:29680491

Abstract

摘要

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Con: Mechanical Ventilation During Cardiopulmonary Bypass Does Not Improve Outcomes After Cardiac Surgery.反对观点：体外循环期间的机械通气并不能改善心脏手术后的预后。

J Cardiothorac Vasc Anesth. 2018 Aug;32(4):2001-2004. doi: 10.1053/j.jvca.2018.02.030. Epub 2018 Feb 22.

Different strategies for mechanical VENTilation during CardioPulmonary Bypass (CPBVENT 2014): study protocol for a randomized controlled trial.体外循环期间机械通气的不同策略（CPBVENT 2014）：一项随机对照试验的研究方案

Trials. 2017 Jun 7;18(1):264. doi: 10.1186/s13063-017-2008-2.

Con: Mechanical Ventilation During Cardiopulmonary Bypass.反对：体外循环期间进行机械通气。

J Cardiothorac Vasc Anesth. 2024 Apr;38(4):1045-1048. doi: 10.1053/j.jvca.2023.12.003. Epub 2023 Dec 7.

Low tidal volume mechanical ventilation against no ventilation during cardiopulmonary bypass heart surgery (MECANO): study protocol for a randomized controlled trial.体外循环心脏手术期间低潮气量机械通气与无通气对照研究（MECANO）：一项随机对照试验的研究方案

Trials. 2017 Dec 2;18(1):582. doi: 10.1186/s13063-017-2321-9.

Pro: Mechanical Ventilation During Cardiopulmonary Bypass in Adult Cardiac Surgery.

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Early pulmonary compliance increase during cardiac surgery predicted post-operative lung dysfunction.心脏手术期间早期肺顺应性增加可预测术后肺功能障碍。

Perfusion. 2017 Nov;32(8):631-638. doi: 10.1177/0267659117713592. Epub 2017 Jun 3.

Beating heart surgery with pulmonary perfusion and ventilation during cardiopulmonary bypass: target organs' perfusion without plegia.体外循环下心肺转流下带肺动脉灌注和通气的不停跳心脏手术：无阻断情况下的靶器官灌注。

Semin Thorac Cardiovasc Surg. 2012 Winter;24(4):308-10. doi: 10.1053/j.semtcvs.2012.08.002.

Lung and chest wall mechanical properties before and after cardiac surgery with cardiopulmonary bypass.体外循环心脏手术后肺和胸壁的力学特性

J Appl Physiol (1985). 1994 Jan;76(1):166-75. doi: 10.1152/jappl.1994.76.1.166.

Ventilation according to the open lung concept attenuates pulmonary inflammatory response in cardiac surgery.根据开放肺概念进行通气可减轻心脏手术中的肺部炎症反应。

Eur J Cardiothorac Surg. 2005 Dec;28(6):889-95. doi: 10.1016/j.ejcts.2005.10.007. Epub 2005 Nov 3.

Pulmonary injury after cardiopulmonary bypass: beneficial effects of low-frequency mechanical ventilation.体外循环后的肺损伤：低频机械通气的有益作用

J Thorac Cardiovasc Surg. 2009 Jun;137(6):1530-7. doi: 10.1016/j.jtcvs.2008.11.014. Epub 2009 Feb 5.

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Effect of ventilation strategy during cardiopulmonary bypass on postoperative pulmonary complications after cardiac surgery: a randomized clinical trial.体外循环期间通气策略对心脏手术后术后肺部并发症的影响：一项随机临床试验。

J Cardiothorac Surg. 2021 Oct 30;16(1):319. doi: 10.1186/s13019-021-01699-1.

The Effect of Low Tidal Volume Ventilation on Inflammatory Cytokines During Cardiopulmonary Bypass.低潮气量通气对体外循环中炎症细胞因子的影响。

Braz J Cardiovasc Surg. 2022 Oct 8;37(5):694-701. doi: 10.21470/1678-9741-2020-0466.

Effect of open-lung vs conventional perioperative ventilation strategies on postoperative pulmonary complications after on-pump cardiac surgery: the PROVECS randomized clinical trial.体外循环心脏手术后开放肺与常规围手术期通气策略对术后肺部并发症的影响：PROVECS 随机临床试验。

Intensive Care Med. 2019 Oct;45(10):1401-1412. doi: 10.1007/s00134-019-05741-8. Epub 2019 Oct 1.

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Con: Mechanical Ventilation During Cardiopulmonary Bypass Does Not Improve Outcomes After Cardiac Surgery.

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