Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Aug 2010
Comparative StudyExtending the use of the pacing pulmonary artery catheter for safe minimally invasive cardiac surgery.
In this study, the therapeutic use of pacing pulmonary artery catheters in association with minimally invasive cardiac surgery was evaluated. ⋯ In combination with minimally invasive cardiac surgery, pacing pulmonary artery catheters were therapeutically useful to induce ventricular fibrillatory arrest intraoperatively and for obtaining pacing capability in the postoperative period. Their use was associated with a low number of complications.
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J. Cardiothorac. Vasc. Anesth. · Aug 2010
Comparative StudyIncreased alveolar damage after mechanical ventilation in a porcine model of thoracic surgery.
Mechanical stress during one-lung ventilation (OLV) results in lung injury. This study compared the effects of mechanical ventilation, OLV, and surgical manipulation on diffuse alveolar damage (DAD) after application of different anesthetic regimens. ⋯ TLV resulted in increased DAD scores in the lungs as compared with SB. OLV and thoracic surgery further increased lung injury and leukocyte recruitment independently of the administration of propofol or desflurane anesthesia.
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J. Cardiothorac. Vasc. Anesth. · Aug 2010
Comparative StudyPerformance comparison of right- and left-sided double-lumen tubes among infrequent users.
To compare performance of right- versus left-sided double-lumen tubes (DLTs) among infrequent users by evaluating the incidence and severity of hypoxemia, hypercapnia, and high airway pressures. ⋯ Left-sided DLTs are perceived to be safer because they may be less prone to malpositioning during lung isolation. However, the supposition that left-sided DLTs are safer than right-sided DLTs when intraoperative hypoxia, hypercapnia, and high airway pressures are used as criteria, even when these tubes are used by infrequent users, is not supported by the data.