PMID- 25137318
OWN - NLM
STAT- MEDLINE
DCOM- 20150219
LR  - 20140820
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 67
IP  - 7
DP  - 2014 Jul
TI  - [Determinants of prolonged mechanical ventilation after cardiac surgery].
PG  - 528-32
AB  - PURPOSE: This study aimed to examine factors that delay weaning from ventilation 
      after cardiac surgery. METHODS: A retrospective examination was made on 1,033 
      patients who had undergone cardiac surgery through a midsternal incision between 
      January 2009 and July 2011. The items examined were duration of postoperative 
      ventilation, patient's background, and other surgical information. If patients 
      were weaned within 24 hours from intensive care unit (ICU) admission, they were 
      included in the timely weaning group. If patients required 24 hours or more to be 
      weaned, they were included in the delayed weaning group. RESULTS: There was a 
      relationship between prolonged ventilation and the following factors: emergency 
      surgery, history of arrhythmia, history of motor system disorder, preoperative 
      estimated glomerular filtration rate (eGFR), preoperative New York Heart 
      Association (NYHA) classification, preoperative left ventricular ejection 
      fraction (LVEF), operative method, operative time, blood loss, intraoperative 
      fluid management, and number of days from surgery until achievement of 
      independent gait. The independent factors delaying extubation were emergency 
      surgery, preoperative NYHA classification, preoperative LVEF, operative method, 
      operative time, blood loss, and intraoperative fluid management(p<0.05). 
      CONCLUSION: Surgical invasiveness and preoperative heart failure were involved in 
      the prolonged ventilation after cardiac surgery.
FAU - Oura, Keisuke
AU  - Oura K
AD  - Department of Rehabilitation, Fukuyama Cardiovascular Hospital, Fukuyama, Japan.
FAU - Morisawa, Tomoyuki
AU  - Morisawa T
FAU - Kamisaka, Kenta
AU  - Kamisaka K
FAU - Saitoh, Masakazu
AU  - Saitoh M
FAU - Hanafusa, Yusuke
AU  - Hanafusa Y
FAU - Yuguchi, Satoshi
AU  - Yuguchi S
FAU - Tahara, Masayuki
AU  - Tahara M
FAU - Sakurada, Kouji
AU  - Sakurada K
FAU - Takahashi, Tetsuya
AU  - Takahashi T
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Kyobu Geka
JT  - Kyobu geka. The Japanese journal of thoracic surgery
JID - 0413533
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cardiac Surgical Procedures
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Period
MH  - *Respiration, Artificial
MH  - Retrospective Studies
MH  - Young Adult
EDAT- 2014/08/20 06:00
MHDA- 2015/02/20 06:00
CRDT- 2014/08/20 06:00
PHST- 2014/08/20 06:00 [entrez]
PHST- 2014/08/20 06:00 [pubmed]
PHST- 2015/02/20 06:00 [medline]
PST - ppublish
SO  - Kyobu Geka. 2014 Jul;67(7):528-32.