Alveolar recruitment with peep titling in the immediate post-operative of cardiac surgery reduces pulmonary complications and is it able to optimize the functional capacity of patients in hospital discharge? A randomized controlled clinical trial

Hospital Universitário Pedro Ernesto (HUPE)0 个研究点开始时间: 2021年11月5日最近更新: 2024年4月2日

适应症

试验速览

暂无简介。

•Patients aged 18 years or over, undergoing elective cardiac surgery for valve replacement (VT) or myocardial revascularization (MVR) or VT with CABG; surgery in the ascending Aortic Artery associated with cardiac surgery; correction of atrial septal defect (ASD); correction of interventricular communication (IVC) with programmed use of cardioplumonary bypass (CPB), clamping of the aorta artery, use of cardioplegia and conventional median sternotomy or median ministernotomy, volume adjusted to an inferior vena cava (IVC) measurement above 18 mm and mean arterial pressure ( MAP) greater than 80 mmHg.

•Patients who refuse to participate in the study will be excluded; patients with previous cardiac surgery; pulmonary fibrosis; pulmonary emphysema; pneumonia diagnosed in the last 30 days; patients with pulmonary artery hypertension, with pulmonary artery systolic pressure greater than 45 mmHg; need for orotracheal intubation before arrival in the operating room; obese with body mass index (BMI) greater than 40 kg/m2; need for noradrenaline greater than 2 µg/kg/min; need for re-operation; pneumothorax and/or bubbling drains; patients with neuromuscular disease; myocardial revascularization surgery (CRVM) using a right internal mammary artery (MID) and radial artery graft.

发起方

Hospital Universitário Pedro Ernesto (HUPE)