Pulmonary abnormalities after cardiac surgery are better explained by atelectasis than by increased permeability oedema

Acta Anaesthesiologica Scandinavica

Volumn 49, Issue 9, 2005, Pages 1302-1310

  Verheij, J ^a   Van Lingen, A ^a   Raijmakers, P G H M ^a   Spijkstra, J J ^a   Girbes, A R J ^a   Jansen, E K ^a   Van Den Berg, F G ^a   Groeneveld, A B Johan ^a  

^a VU UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

Alveolar collapse; Atelectasis; Cardiopulmonary bypass; Compliance; Lung oedema

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; ATELECTASIS; CARDIOPULMONARY BYPASS; CLINICAL ARTICLE; CONTROLLED STUDY; ELECTIVE SURGERY; FEMALE; GAS EXCHANGE; HEART FAILURE; HEART SURGERY; HUMAN; INTENSIVE CARE UNIT; LUNG COMPLIANCE; LUNG EDEMA; LUNG EXTRAVASCULAR FLUID; MALE; ONCOTIC PRESSURE; OXYGENATION; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; PROSPECTIVE STUDY; STAINING; THORAX RADIOGRAPHY;

ADULT; AGED; ATELECTASIS; CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; EXTRAVASCULAR LUNG WATER; FEMALE; HUMANS; INTENSIVE CARE; LUNG; LUNG DISEASES; MALE; MIDDLE AGED; OSMOTIC PRESSURE; PERMEABILITY; PROSPECTIVE STUDIES; PULMONARY EDEMA; PULMONARY GAS EXCHANGE; RESPIRATORY FUNCTION TESTS;

EID: 25444517738     PISSN: 00015172     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1399-6576.2005.00831.x     Document Type: Article

References (40)

1. Fowler AA, Hamman RF, Good JT et al. Adult respiratory distress syndrome: risk with common predispositions. Ann Intern Med 1983; 98: 593-7.
2. Milot J, Perron J, Lacasse Y, Létourneau L, Cartier PC, Maltais F. Incidence and predictors of ARDS after cardiac surgery. Chest 2001; 119: 884-8.
3. Macnaughton PD, Braude S, Hunter DN, Denison DM, Evans TW. Changes in lung function and pulmonary capilary permeability after cardiopulmonary bypass. Crit Care Med 1992; 20: 1289-94.
4. 67Ga in the lungs after cardiopulmonary bypass surgery. Chest 1993; 104: 1825-32.
5. Sinclair DG, Haslam PL, Quinlan GJ, Pepper JR, Evans TW. The effect of cardiopulmonary bypass on intestinal and pulmonary endothelial permeability. Chest 1995; 108: 718-24.
6. Byrick RJ, Kay JC, Noble WH. Extravascular lung water accumulation in patients following coronary artery surgery. Can Anaesth Soc J 1977; 24: 332-45.
7. Sivak ED, Starr NJ, Graves JW, Cosgrove DM, Borsh J, Estafanous FG. Extravascular lung water values in patients undergoing coronary artery bypass surgery. Crit Care Med 1982; 10: 593-6.
8. Klancke KA, Assey ME, Kratz JM, Crawford FA. Postoperative pulmonary edema in postcoronary artery bypass graft patients. Relationship of total serum protein and colloid oncotic pressures. Chest 1983; 84: 529-34.
9. Boldt J, von Bormann B, Kling D, Mulch J. Age and cardiac surgery. Influence on extravascular lung water. Chest 1987; 91: 185-9.
10. Boldt J, Kling D, von Bormann B, Scheld HH, Hempelmann G. Influence of cardiac output on thermal-dye extravascular lung water (EVLW) in cardiac patients. Intensive Care Med 1987; 13: 310-4.
11. Lumb PD. A comparison between 25% albumin and 6% hydroxyethyl starch solutions on lung water accumulation during and immediately after cardiopulmonary bypass. Ann Surg 1987; 206: 210-3.
12. Hoeft A, Korb H, Mehlhorn U, Stephan H, Sonntag H. Priming of cardiopulmonary bypass with human albumin or Ringer lactate: effect on colloid osmotic pressure and extravascular lung water. Br J Anaesth 1992; 66: 73-80.
13. Hachenberg T, Tenling A, Rothen HU, Nystrom SO, Tyden H, Hedenstierna G. Thoracic intravascular and extravascular fluid volumes in cardiac surgical patients. Anesthesiology 1993; 79: 976-84.
14. Louagie Y, Gonzalez E, Jamart J, Bulliard G, Schoevaerdts J-C. Postcardiopulmonary bypass lung edema. A preventable complication? Chest 1993; 103: 86-95.
15. Gilbert TB, Barnas GM, Sequeira AJ. Impact of pleurotomy, continuous positive airway pressure, and fluid balance during cardiopulmonary bypass on lung mechanics and oxygenation. J Cardiothorac Vasc Anesth 1996; 10: 844-9.
16. Buhre W, Hoeft A, Schorn B, Weyland A, Scholz M, Sonntag H. Acute effects of mitral valve replacement on extravascular lung water in patients receiving colloid or crystalloid priming of cardiopulmonary bypass. Br J Anaesth 1997; 79: 311-6.
17. Gödje O, Peyerl M, Seebauer T, Dewald O, Reichart B. Reproducibility of double indicator dilution measurements of intrathoracic blood volume compartments, extravascular lung water, and liver function. Chest 1998; 113: 1070-7.
18. Eising GP, Niemeyer M, Günther T et al. Does a hyperoncotic cardiopulmonary bypass prime affect extravascular lung water and cardiopulmonary function in patients undergoing coronary artery bypass surgery? Eur J Cardiothorac Surg 2001; 20: 282-9.
19. Honoré PM, Jacquet LM, Beale RJ et al. Effects of normothermia versus hypothermia on extravascular lung water and serum cytokines during cardiopulmonary bypass: a randomized, controlled trial. Crit Care Med 2001; 29: 1903-9.
20. von Spiegel T, Giannaris S, Wietasch GJ et al. Effects of dexamethasone on intravascular and extravascular fluid balance in patients undergoing coronary bypass surgery with cardiopulmonary bypass. Anesthesiology 2002; 96: 827-34.
21. Tenling A, Hachenberg T, Tydén H, Wegenius G, Hedenstierna G. Atelectasis and gas exchange after cardiac surgery. Anesthesiology 1998; 89: 371-8.
22. Polese G, Lubli P, Mazzucco A, Luzzani A, Rossi A. Effects of open heart surgery on respiratory mechanics. Intensive Care Med 1999; 25: 1092-9.
23. Babik B, Asztalos T, Peták F, Deák ZI, Hantos Z. Changes in respiratory mechanics during cardiac surgery. Anesth Analg 2003; 96: 1280-7.
24. Roosens C, Heerman J, De Somer F, Caes F, Van Belleghem Y, Poelaert JI. Effects of off-pump coronary surgery on the mechanics of the respiratory system, lung, and chest wall: comparison with extracorporeal circulation. Crit Care Med 2002; 30: 2430-7.
25. Ng CSH, Wan S, Yim APC, Arifi AA. Pulmonary dysfunction after cardiac surgery. Chest 2002; 121: 1269-77.
26. Karanko MS, Klossner JA, Laaksonen VO. Restoration of volume by crystalloid versus colloid after coronary artery bypass: hemodynamics, lung water, oxygenation, and outcome. Crit Care Med 1987; 15: 559-66.
27. Massoudy P, Zahler S, Backer BF, Braun SL, Barankay A, Meisner H. Evidence for inflammatory responses of the lungs during coronary artery bypass grafting with cardiopulmonary bypass. Chest 2001; 119: 31-6.
28. Groeneveld ABJ. Radionuclide assessment of pulmonary microvascular permeability. Eur J Nucl Med 1997; 24: 449-61.
29. Groeneveld ABJ, Verheij J. Is pulmonary edema associated with a high extravascular thermal volume? Crit Care Med 2004; 32: 899-901.
30. Magnusson L, Spahn DR. New concepts of atelectasis during general anaesthesia. Br J Anaesth 2003; 91: 61-72.
31. Drummond GB. Computed tomography and pulmonary measurements. Br J Anaesth 1998; 80: 665-71.
32. Dyhr T, Nygård E, Laursen N, Larsson A. Both lung recruitment maneuver and PEEP are needed to increase oxygenation and lung volume after cardiac surgery. Acta Anaesthesiol Scand 2004; 48: 187-97.
33. Jansen PGM, Te Veldhuis H, Wildevuur WR et al. Cardiopulmonary bypass with modified gelatin and heparin-coated circuits. Br J Anaesth 1996; 76: 13-9.
34. Matejovic M, Krouzecky A, Rokyta R Jr, Novak I. Fluid challenge in patients at risk for fluid loading-induced pulmonary edema. Acta Anaesthesiol Scand 2004; 49: 69-73.
35. Murray JF, Matthay MA, Luce JM, Flick MR. An expanded definition of the adult respiratory distress syndrome. Am Rev Respir Dis 1988; 138: 720-3.
36. Schuster DP, Haller J. A quantitative correlation of extravascular lung water accumulation with vascular permeability and hydrostatic pressure measurements: a positron emission tomography study. J Crit Care 1990; 5: 161-8.
37. Arif SK, Verheij J, Groeneveld ABJ, Raijmakers PGHM. Hypoproteinemia as a marker of acute respiratory distress syndrome in critically ill patients with pulmonary edema. Intensive Care Med 2002; 28: 310-7.
38. Arquès S, Ambrosi P, Gélisse R, Luccioci R, Habib G. Hypoalbuminemia in elderly patients with acute diastolic heart failure. J Am Coll Cardiol 2003; 42: 712-6.
39. Baudendistel L, Shields JB, Kaminski DL. Comparison of double indicator thermodilution measurements of extravascular lung water (EVLW) with radiographic estimation of lung water in trauma patients. J Trauma 1982; 22: 983-8.
40. Allen SJ, Drake RE, Katz J, Gabel JC, Laine GA. Elevation of superior vena caval pressure increases extravascular lung water after endotoxemia. J Appl Physiol 1987; 62: 1006-9.