Evaluation of the influence of pulmonary hypertension in ultra-fast-track anesthesia technique in adult patients undergoing cardiac surgery

Revista Brasileira de Cirurgia Cardiovascular

Paulo Sérgio Da Silva¹  Márcio Portugal Trindade Cartacho¹  Casimiro Cardoso De Castro¹  Marcello Fonseca Salgado Filho¹  Antônio Carlos Aguiar Brandão¹ 

关键词: Anesthesia;    Airway Extubation;    Hypertension;    Pulmonary;    Heart Valve Diseases;    Cardiovascular Surgical Procedures;    Anestesia;    Extubação;    Hipertensão Pulmonar;    Doenças das Valvas Cardíacas;    Procedimentos Cirúrgicos Cardiovasculares;   

DOI  :  10.5935/1678-9741.20150042

来源: SciELO

【 摘 要 】

AbstractObjective: To evaluate the influence of pulmonary hypertension in the ultra-fast-track anesthesia technique in adult cardiac surgery.Methods: A retrospective study. They were included 40 patients divided into two groups: GI (without pulmonary hypertension) and GII (with pulmonary hypertension). Based on data obtained by transthoracic echocardiography. We considered as the absence of pulmonary hypertension: a pulmonary artery systolic pressure (sPAP) <36 mmHg, with tricuspid regurgitation velocity <2.8 m/s and no additional echocardiographic signs of PH, and PH as presence: a sPAP >40 mmHg associated with additional echocardiographic signs of PH. It was established as influence of pulmonary hypertension: the impossibility of extubation in the operating room, the increase in the time interval for extubation and reintubation the first 24 hours postoperatively. Univariate and multivariate analyzes were performed when necessary. Considered significant a P value <0.05.Results: The GI was composed of 21 patients and GII for 19. All patients (100%) were extubated in the operating room in a medium time interval of 17.58±8.06 min with a median of 18 min in GII and 17 min in GI. PH did not increase the time interval for extubation (P=0.397). It required reintubation of 2 patients in GII (5% of the total), without statistically significant as compared to GI (P=0.488).Conclusion: In this study, pulmonary hypertension did not influence on ultra-fast-track anesthesia in adult cardiac surgery.

【 授权许可】

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