Beneficial effects of bilevel positive airway pressure after surgery under cardiopulmonary bypass

Yoshiyuki Takami, Hiroshi Ina

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

To support injured lungs, we have been applying bilevel positive airway pressure for adult patients undergoing surgery with cardiopulmonary bypass. Among 120 consecutive patients, 31 patients whose PaO2/FiO 2 decreased to less than 180 after extubation assigned to the intermittent 15min bilevel positive airway pressure (7.3±3.6 times per patient). Bilevel positive airway pressure improved oxygenation (PaO 2/FiO2: 128±43 vs. 198±62, P=0.004) and allowed the patients with poor oxygenation after extubation to maintain PaO 2/FiO2 levels similar to those of the patients without bilevel positive airway pressure. In conclusion, the bilevel positive airway pressure therapy after extubation was effective to improve lung oxygenation non-invasively in adult patients undergoing more invasive surgery with prolonged cardiopulmonary bypass.

Original languageEnglish
Pages (from-to)156-159
Number of pages4
JournalInteractive Cardiovascular and Thoracic Surgery
Volume2
Issue number2
DOIs
Publication statusPublished - 01-06-2003
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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