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Re-evaluating the impact of mechanical ventilation strategies during cardiac surgery with cardiopulmonary bypass: work in progress.

作者信息

Parotto Matteo, Jaber Samir, Schaller Stefan J

机构信息

Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Canada.

Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.

出版信息

Intensive Care Med. 2025 Sep;51(9):1706-1708. doi: 10.1007/s00134-025-08057-y. Epub 2025 Aug 4.

DOI:10.1007/s00134-025-08057-y
PMID:40760049
Abstract
摘要

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本文引用的文献

1
Maintaining ventilation with very low tidal volume and positive-end expiratory pressure versus no ventilation during cardiopulmonary bypass for cardiac surgery in adults: a randomized clinical trial.成人心脏手术体外循环期间采用低潮气量和呼气末正压通气与不进行通气的效果比较：一项随机临床试验
Intensive Care Med. 2025 May 5. doi: 10.1007/s00134-025-07901-5.
2
Global Cardiac Surgical Volume and Gaps: Trends, Targets, and Way Forward.全球心脏外科手术量与差距：趋势、目标及未来方向
Ann Thorac Surg Short Rep. 2023 Dec 9;2(2):320-324. doi: 10.1016/j.atssr.2023.11.019. eCollection 2024 Jun.
3
Pro: Mechanical Ventilation During Cardiopulmonary Bypass in Adult Cardiac Surgery.
J Cardiothorac Vasc Anesth. 2024 Apr;38(4):1041-1044. doi: 10.1053/j.jvca.2024.01.004. Epub 2024 Jan 10.
4
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.
5
Low Tidal Volume Mechanical Ventilation Against No Ventilation During Cardiopulmonary Bypass in Heart Surgery (MECANO): A Randomized Controlled Trial.心脏手术体外循环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
Chest. 2021 May;159(5):1843-1853. doi: 10.1016/j.chest.2020.10.082. Epub 2020 Nov 17.
6
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.
7
Effect of Intensive vs Moderate Alveolar Recruitment Strategies Added to Lung-Protective Ventilation on Postoperative Pulmonary Complications: A Randomized Clinical Trial.肺保护性通气联合强化或适度肺复张策略对术后肺部并发症的影响：一项随机临床试验。
JAMA. 2017 Apr 11;317(14):1422-1432. doi: 10.1001/jama.2017.2297.
8
Center-level variation in infection rates after coronary artery bypass grafting.冠状动脉搭桥术后感染率的中心层面差异。
Circ Cardiovasc Qual Outcomes. 2014 Jul;7(4):567-73. doi: 10.1161/CIRCOUTCOMES.113.000770. Epub 2014 Jul 1.
9
The effect of different lung-protective strategies in patients during cardiopulmonary bypass: a meta-analysis and semiquantitative review of randomized trials.体外循环期间不同肺保护策略对患者的影响：随机试验的荟萃分析和半定量综述。
J Cardiothorac Vasc Anesth. 2012 Jun;26(3):448-54. doi: 10.1053/j.jvca.2012.01.034. Epub 2012 Mar 28.
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The inflammatory response to cardiopulmonary bypass: part 1--mechanisms of pathogenesis.体外循环的炎症反应：第一部分——发病机制
J Cardiothorac Vasc Anesth. 2009 Apr;23(2):223-31. doi: 10.1053/j.jvca.2008.08.007. Epub 2008 Oct 19.