Evaluation of the effect of ventilation strategies during cardiopulmonary bypass on postoperative pulmonary complication in pediatric cardiac surgery: A randamized prospective study

Mohamed Magdy; Naglaa A. Elnegeery; Ghada A. El Rahamawy; Mohamed A. Elgamal; Salwa M. S Hayes

doi:10.53730/ijhs.v6nS9.12506

Authors

Mohamed Magdy
dr_mohamedmagdy1988@hotmail.com
Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine Mansoura University, Mansoura, Egypt.
Naglaa A. Elnegeery Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine Mansoura University, Mansoura, Egypt.
Ghada A. El Rahamawy Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine Mansoura University, Mansoura, Egypt.
Mohamed A. Elgamal Department of Cardiothoracic Surgery, Faculty of Medicine Mansoura University, Mansoura, Egypt.
Salwa M. S Hayes Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine Mansoura University, Mansoura, Egypt.

Keywords:

Congenital heart disease, ventilation during cardiopulmonary bypass, pediatric cardiac surgery, postoperative pulmonary complications

Abstract

Objectives: To compare the effects of three ventilation strategies during cardiopulmonary bypass on postoperative pulmonary complications (PPCs). Design: A prospective, randomized, double blinded study. Setting: Single center hospital. Participants: forty eight pediatric patients undergoing elective repair of congenital heart diseases with cardiopulmonary bypass. Interventions: Patients were randomly assigned into three groups according to ventilation strategy during CPB: (1) low tidal volume (LTV), RR 5 breath ber min, and V_t2 -3mL/kg of ideal body weight, (2) continuous positive airway pressure (CPAP) of 5-10 cm H2O, (3). no ventilation (NOV). Measurements: and Main Results: postoperative atelectasis. Regarding the frequency of postoperative atelectasis there was statistically insignificant between the studied groups although the number of patients who developed atelectasis in NVgroup 7 (43.8%) were greater than the number in both LTV group 2 (12.5%) and CPAP group 2 (12.5%) Conclusions: Maintaining ventilation during CPB can reduce the incidence of PPCs in pediatric patients undergoing cardiac surgery.

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