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Adult respiratory distress syndrome following cardiopulmonary bypass: incidence and prediction
Author(s) -
Messent M.,
Sullivan K.,
Keogh B. F.,
Morgan C. J.,
Evans T. W.
Publication year - 1992
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1992.tb02134.x
Subject(s) - medicine , cardiopulmonary bypass , respiratory distress , incidence (geometry) , respiratory system , acute respiratory distress , intensive care medicine , cardiology , anesthesia , lung , physics , optics
Summary The outcome of adult respiratory distress syndrome complicating cardiopulmonary bypass has changed little in recent years. A retrospective, case‐controlled study was designed to assess the incidence of the adult respiratory distress syndrome in these circumstances and the extent to which it could be linked with pre and peri‐operative predictive factors. Eleven patients who developed the syndrome out of 840 who underwent cardiopulmonary bypass over a 9 month period were compared with 53 controls matched for sex, operation and surgeon. The incidence of adult respiratory distress syndrome and its mortality were 1.3% and 53% respectively. Significant predictors were a high intra and postoperative intervention score, the total volume of blood pumped during bypass (>300 l) and age (>60 years). These risk factors should alert the clinician to the possibility of severe postoperative pulmonary complications.