High-Flow Nasal Cannula Therapy With Early Extubation for Subjects Undergoing Off-Pump Coronary Artery Bypass Graft Surgery.
BACKGROUND: The effects of high-flow nasal cannula (HFNC) therapy on postoperative atelectasis and duration of oxygen therapy after off-pump coronary artery bypass graft are unknown. The purpose of this study was to compare the effects of HFNC therapy for subjects who underwent off-pump coronary art...
| Publicado en: | Respiratory Care Vol. 65; no. 2; pp. 183 - 191 |
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| Autores principales: | , , , , , |
| Formato: | diagnostic images research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Feb2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141657287&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141657287 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Feb2020 vid: 65 iid: 2 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 141657287 141657287 141657287 10.4187/respcare.06382 141657287 ppf: 183 ppct: 8 formats: fmt: @attributes: type: P tig: atl: High-Flow Nasal Cannula Therapy With Early Extubation for Subjects Undergoing Off-Pump Coronary Artery Bypass Graft Surgery. aug: au: Wataru Tatsuishi Toshiro Sato Go Kataoka Atsuhiko Sato Ryota Asano Kiyoharu Nakano affil: Department of Cardiovascular Surgery, Tokyo Women's Medical University, Medical Center East, Tokyo, Japan sug: subj: Coronary Artery Bypass Methods Postoperative Period Pulmonary Atelectasis Prevention and Control Extubation Methods Nasal Cannula Oxygen Therapy Treatment Duration Treatment Outcomes Human Comparative Studies Prospective Studies Single-Blind Studies Randomized Controlled Trials Random Assignment Oxygen Consumption Time Factors Oxygen Administration and Dosage Correlational Studies Cardiac Patients Lung Volume Measurements Surgical Patients Japan Multidetector Computed Tomography Methods Blood Circulation Respiration, Artificial Image Processing, Computer Assisted Rehabilitation, Cardiac Descriptive Statistics Middle Age Aged Male Female Spearman's Rank Correlation Coefficient Chi Square Test Mann-Whitney U Test Length of Stay Middle Aged: 45-64 years Aged: 65+ years Male Female ab: BACKGROUND: The effects of high-flow nasal cannula (HFNC) therapy on postoperative atelectasis and duration of oxygen therapy after off-pump coronary artery bypass graft are unknown. The purpose of this study was to compare the effects of HFNC therapy for subjects who underwent off-pump coronary artery bypass graft with the effects of standard oxygen therapy in terms of oxygen requirement and atelectasis. METHODS: This prospective single-blinded randomized, controlled trial included 148 subjects who underwent off-pump coronary artery bypass graft between 2010 and 2015 with HFNC (n = 72) or without HFNC (standard O2, n = 76). The primary end point was the percentage difference in loss of lung volume between subjects with or without HFNC therapy. Secondary end points included the total amount of oxygen administered and duration of oxygen therapy with and without HFNC therapy. RESULTS: There were significant between-group differences in the percentage loss of lung volume (P < .001), total amount of oxygen administered (P < .001), duration of oxygen therapy (P < .001), and the need for postoperative diuretic therapy (P = .037). The amount (ρ = 0.569, P < .001) and duration (ρ = 0.678, P < .001) of oxygen administered were correlated with atelectasis volume. CONCLUSIONS: Using HFNC therapy after off-pump coronary artery bypass graft shortened the duration of oxygen therapy and reduced the percentage loss of lung volume and total amount of oxygen administered when compared with standard oxygen therapy. pubtype: Academic Journal doctype: diagnostic images research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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