Subxyphoid pleural drain confers lesser impairment in respiratory muscle strength, oxygenation and lower chest pain after of f-pump coronary artery bypass grafting: a randomized controlled trial
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2012
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| _version_ | 1876484242437832704 |
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| author | Andreia S. A. Cancio |
| author_facet | Andreia S. A. Cancio |
| contents | Subxyphoid pleural drain confers lesser impairment in respiratory muscle strength, oxygenation and lower chest pain after of f-pump coronary artery bypass grafting: a randomized controlled trial Andreia S. A. Cancio Solange Guizilini Douglas W. Bolzan Renato B. Dauar José E. Succi Angelo A. V. de Paola Antonio C. de Camargo Carvalho Walter J. Gomes Medicina off pump Respiratory mechanics Coronary artery bypass Pulmonary gas exchange Objective: T o evaluate r espirator y muscle str ength, oxygenation and chest pain in patients undergoing off-pump coronary artery bypass (OPCAB) using internal thoracic artery grafts comparing pleural drain insertion site at the subxyphoid region versus the lateral region. Methods: Forty patients were randomized into two groups in accordance with the pleural drain site. Group II (n = 19) - pleural drain exteriorized in the intercostal space; group (SI) (n = 21) chest tube exteriorized at the subxyphoid region. All patients underwent assessment of respiratory muscle strength (inspiratory and expiratory) on the pre, 1, 3 and 5 postoperative days (POD). Ar terial blood gas analysis was collected on the pre and POD1. The chest pain sensation was measured 1, 3 and 5 POD. Result s: A significant decr ease in r espirator y muscle strength (inspiratory and expiratory) was seen in both groups until POD5 ( P <0.05). When compared, the difference between groups remained significant with greater decrease in the II ( P <0.05). The blood arterial oxygenation fell in both groups ( P <0.05), but the oxygenation was lower in the II ( P <0.05). Referred chest pain was higher 1, 3 and 5 POD in the II group ( P <0.05). The orotracheal intubation time and postoperative length of hospital stay were higher in the II group ( P <0.05). Conclusion: Patients submitted to subxyphoid pleural drainage showed less decrease in respiratory muscle strength, better preservation of blood oxygenation and reduced thoracic pain compared to patients with intercostal drain on early OPCAB postoperative. 2012 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941884015 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.1 Vol.27 |
| format | Artículo científico |
| id | redalyc_398941884015 |
| institution | Redalyc |
| language | en |
| publishDate | 2012 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Subxyphoid pleural drain confers lesser impairment in respiratory muscle strength, oxygenation and lower chest pain after of f-pump coronary artery bypass grafting: a randomized controlled trial Andreia S. A. Cancio Medicina off pump Respiratory mechanics Coronary artery bypass Pulmonary gas exchange Subxyphoid pleural drain confers lesser impairment in respiratory muscle strength, oxygenation and lower chest pain after of f-pump coronary artery bypass grafting: a randomized controlled trial Andreia S. A. Cancio Solange Guizilini Douglas W. Bolzan Renato B. Dauar José E. Succi Angelo A. V. de Paola Antonio C. de Camargo Carvalho Walter J. Gomes Medicina off pump Respiratory mechanics Coronary artery bypass Pulmonary gas exchange Objective: T o evaluate r espirator y muscle str ength, oxygenation and chest pain in patients undergoing off-pump coronary artery bypass (OPCAB) using internal thoracic artery grafts comparing pleural drain insertion site at the subxyphoid region versus the lateral region. Methods: Forty patients were randomized into two groups in accordance with the pleural drain site. Group II (n = 19) - pleural drain exteriorized in the intercostal space; group (SI) (n = 21) chest tube exteriorized at the subxyphoid region. All patients underwent assessment of respiratory muscle strength (inspiratory and expiratory) on the pre, 1, 3 and 5 postoperative days (POD). Ar terial blood gas analysis was collected on the pre and POD1. The chest pain sensation was measured 1, 3 and 5 POD. Result s: A significant decr ease in r espirator y muscle strength (inspiratory and expiratory) was seen in both groups until POD5 ( P <0.05). When compared, the difference between groups remained significant with greater decrease in the II ( P <0.05). The blood arterial oxygenation fell in both groups ( P <0.05), but the oxygenation was lower in the II ( P <0.05). Referred chest pain was higher 1, 3 and 5 POD in the II group ( P <0.05). The orotracheal intubation time and postoperative length of hospital stay were higher in the II group ( P <0.05). Conclusion: Patients submitted to subxyphoid pleural drainage showed less decrease in respiratory muscle strength, better preservation of blood oxygenation and reduced thoracic pain compared to patients with intercostal drain on early OPCAB postoperative. 2012 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941884015 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.1 Vol.27 |
| title | Subxyphoid pleural drain confers lesser impairment in respiratory muscle strength, oxygenation and lower chest pain after of f-pump coronary artery bypass grafting: a randomized controlled trial |
| topic | Medicina off pump Respiratory mechanics Coronary artery bypass Pulmonary gas exchange |
| url | https://www.redalyc.org/articulo.oa?id=398941884015 |