Postoperative pulmonary dysfunction in adults after cardiac surgery with cardiopulmonary bypass: clinical significance and implications for practice.

Postoperative pulmonary complications are the most frequent and significant contributor to morbidity, mortality, and costs associated with hospitalization. Interestingly, despite the prevalence of these complications in cardiac surgical patients, recognition, diagnosis, and management of this proble...

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Publicado en:American Journal of Critical Care Vol. 13; no. 5; pp. 384 - 394
Autores principales: Wynne R, Botti M
Formato: research systematic review tables/charts Journal Article
Publicado: American Association of Critical-Care Nurses Sep2004
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2004
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      pub: American Association of Critical-Care Nurses
      place: Alisa Veijo, California
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        atl: Postoperative pulmonary dysfunction in adults after cardiac surgery with cardiopulmonary bypass: clinical significance and implications for practice.
      aug:
        au:
          Wynne R
          Botti M
        affil: School of Nursing, Faculty of Health and Behavioural Sciences, Deakin University, Burwood, Australia
      sug:
        subj:
          Coronary Artery Bypass Adverse Effects
          Lung Diseases Etiology
          Postoperative Complications
          Anesthesia, General Adverse Effects
          Cardiac Patients
          Funding Source
          Hypothermia, Induced Adverse Effects
          Lung Diseases Diagnosis
          Lung Diseases Epidemiology
          Lung Diseases Physiopathology
          Lung Diseases Risk Factors
          Lung Diseases Therapy
          Postoperative Care
          Reference Databases, Health
          Surgical Patients
          Systematic Review
          Human
      ab: Postoperative pulmonary complications are the most frequent and significant contributor to morbidity, mortality, and costs associated with hospitalization. Interestingly, despite the prevalence of these complications in cardiac surgical patients, recognition, diagnosis, and management of this problem vary widely. In addition, little information is available on the continuum between routine postoperative pulmonary dysfunction and postoperative pulmonary complications. The course of events from pulmonary dysfunction associated with surgery to discharge from the hospital in cardiac patients is largely unexplored. In the absence of evidence-based practice guidelines for the care of cardiac surgical patients with postoperative pulmonary dysfunction, an understanding of the path ophysiological basis of the development of postoperative pulmonary complications is fundamental to enable clinicians to assess the value of current management interventions. Previous research on postoperative pulmonary dysfunction in adults undergoing cardiac surgery is reviewed, with an emphasis on the pathogenesis of this problem, implications for clinical nursing practice, and possibilities for future research.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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