Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Applied Journal of General Practice》 2008-06
Add to Favorite Get Latest Update

Application of Improved Management of Breathe and Lung Protection in Minimally Invasive Cardiac Surgery for Children

DENG Jin-song,WEI Hua,ZHANG Ri-ying,et al.Department of Anesthesiology,Gaozhou People's Hospital,Guangdong 525200,China  
Objective To investigate the application value of improved management of breathe and lung protection in minimally invasive cardiac surgery for children.Methods 60 pediatric patients with congenital heart diseases undergoing minimally invasive surgery were randomly divided into two groups(group A and group B,n=30).The anaesthesia was performed through single-cavity tube in the trachea.In group A,combined with lung protection that decreased lung injury,the improved breathe management by decreasing tidal volume,increasing breath rate and regulating the inspiration time and expiratory time ratio was used to exposure the operation sits,whereas the routine high frequency ventilation(HFV)was employed in group B.The effects of these two respiratory managements on the operation and prognosis were observed.Results There were no complications such as serious cardiac arrhythmia,morbidity of remains leak and pulmonary edema.Compared to group B,the blood dynamics was steady in the operation in group A,and the incidence of hypoxemia,hypercarbia,extracorporeal circulation time,assisted ventilation time,admission time in ICU and days in hospital of group A were significantly less(P0.05).Conclusions The application of improved respiratory management in minimally invasive cardiac surgery for children in pediatric can acquire adequate surgical exposure for the operation and reduce complications of lung,decrease the assisted ventilation time and admission time post-operation.
【CateGory Index】: R726.5
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved