tailieunhanh - Báo cáo y học: " Postresectional lung injury in thoracic surgery pre and intraoperative risk factors: a retrospective clinical study of a hundred forty-three cases"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Postresectional lung injury in thoracic surgery pre and intraoperative risk factors: a retrospective clinical study of a hundred forty-three cases. | ặen et al. Journal of Cardiothoracic Surgery 2010 5 62 http content 5 1 62 JOTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Postresectional lung injury in thoracic surgery pre and intraoperative risk factors a retrospective clinical study of a hundred forty-three cases Serdar ặen1 Selda ặen2 Ekrem ặentùrk1 Nilgun Kanlioglu Kuman1 Abstract Introduction Acute respiratory dysfunction syndrome ARDS defined as acute hypoxemia accompanied by radiographic pulmonary infiltrates without a clearly identifiable cause is a major cause of morbidity and mortality after pulmonary resection. The aim of the study was to determine the pre and intraoperative factors associated with ARDS after pulmonary resection retrospectively. Methods Patients undergoing elective pulmonary resection at Adnan Menderes University Medical Faculty Thoracic Surgery Department from January 2005 to February 2010 were included in this retrospective study. The authors collected data on demographics relevant co-morbidities the American Society of Anesthesiologists ASA Physical Status classification score pulmonary function tests type of operation duration of surgery and intraoperative fluid administration fluid therapy and blood products . The primary outcome measure was postoperative ARDS defined as the need for continuation of mechanical ventilation for greater than 48-hours postoperatively or the need for reinstitution of mechanical ventilation after extubation. Statistical analysis was performed with Fisher exact test for categorical variables and logistic regression analysis for continuous variables. Results Of one hundred forty-three pulmonary resection patients 11 developed postoperative ARDS. Alcohol abuse p OR ASA score p OR resection type p OR and fresh frozen plasma FFP p OR were the factors found to be statistically significant. Conclusion In the light of the current study lung injury after lung .