Intensive Strategy Addresses Hypoxemia After Cardiac Surgery

Share this content:
Intensive Strategy Addresses Hypoxemia After Cardiac Surgery
Intensive Strategy Addresses Hypoxemia After Cardiac Surgery

WEDNESDAY, March 22, 2017 (HealthDay News) -- For patients with hypoxemia after cardiac surgery, use of an intensive alveolar recruitment strategy is associated with less severe pulmonary complications, according to a study published online March 21 in the Journal of the American Medical Association. The research was published to coincide with the annual International Symposium on Intensive Care and Emergency Medicine, held from March 21 to 24 in Brussels.

Alcino Costa Leme, R.R.T., Ph.D., from the University of São Paulo in Brazil, and colleagues randomized patients with hypoxemia after cardiac surgery to an intensive alveolar recruitment strategy (157 patients) or a moderate recruitment strategy (163 patients) plus protective ventilation with small tidal volume.

The researchers found that the mean and median pulmonary complications score was 1.8 and 1.7, respectively, for the intensive recruitment strategy group, compared with 2.1 and 2.0, respectively, for the moderate strategy group. The distribution of primary outcome scores moved in favor of the intensive strategy; the common odds ratio was 1.86 for lower scores. The mean hospital stay was 12.4 versus 10.9 days for the moderate versus intensive group (absolute difference, −1.5 days), while the corresponding mean intensive care unit stay was 4.8 versus 3.8 days, respectively (absolute difference, −1.0 days).

"Among patients with hypoxemia after cardiac surgery, the use of an intensive versus a moderate alveolar recruitment strategy resulted in less severe pulmonary complications while in the hospital," the authors write.

One author disclosed financial ties to the biopharmaceutical industry.

Abstract/Full Text
Editorial
More Information

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

USPSTF Urges BP Screening for Pre-eclampsia During Pregnancy

USPSTF Urges BP Screening for Pre-eclampsia During Pregnancy

Grade B recommendation suggests substantial net benefit for screening for pre-eclampsia

Evidence Suggests Sodium Guidelines Are Misguided

Evidence Suggests Sodium Guidelines Are Misguided

Dietary sodium intake inversely associated with systolic, diastolic blood pressure in long term

Waiting 10 Months for Colonoscopy May Raise CRC Risk

Waiting 10 Months for Colonoscopy May Raise CRC ...

After positive FIT result, colonoscopy at 10 months also tied to more advanced disease

is free, fast, and customized just for you!

Already a member?

Sign In Now »