-transparent.png){kind=logo}
BACKGROUND In this retrospective study, we have examined the incidence and the predictors of ARDS (adult respiratory distress syndrome), in patients undergoing coronary artery bypass (CABG) surgery on cardiopulmonary bypass (CPB). The prophylactic and therapeutic measures that were used in this series were also evaluated. METHODS Between January 1988 and January 1995, 4318 consecutive patients undergoing an isolated and a primary CABG procedure were included. Patients with poor left ventricular function, congestive heart failure (CHF), renal failure and with an abnormal chest radiogram were excluded. RESULTS The independent predictors of ARDS were: recent cigarette smoking, advanced COPD (chronic obstructive pulmonary disease) and emergency surgery. The overall incidence of ARDS was 2.5% and hospital mortality in patients with an established ARDS was 27.7% (30/108). The prophylactic and the therapeutic measures which have been used in this series had no significant impact on the incidence and hospital mortality. CONCLUSIONS In view of a high perioperative mortality in patients with established ARDS, a mandate for a regular use of prophylactic and therapeutic measures that are based on its pathophysiology, clearly exists.
T K Kaul, and
B L Fields, and
L S Riggins, and
D A Wyatt, and
C R Jones, and
D Nagle
March 1992,
Anaesthesia,
T K Kaul, and
B L Fields, and
L S Riggins, and
D A Wyatt, and
C R Jones, and
D Nagle
January 1985,
Bulletin europeen de physiopathologie respiratoire,
T K Kaul, and
B L Fields, and
L S Riggins, and
D A Wyatt, and
C R Jones, and
D Nagle
September 1973,
JAMA,
T K Kaul, and
B L Fields, and
L S Riggins, and
D A Wyatt, and
C R Jones, and
D Nagle
September 1999,
The Annals of thoracic surgery,
T K Kaul, and
B L Fields, and
L S Riggins, and
D A Wyatt, and
C R Jones, and
D Nagle
July 1974,
The British journal of clinical practice,
T K Kaul, and
B L Fields, and
L S Riggins, and
D A Wyatt, and
C R Jones, and
D Nagle
September 1984,
Postgraduate medical journal,
T K Kaul, and
B L Fields, and
L S Riggins, and
D A Wyatt, and
C R Jones, and
D Nagle
February 1992,
Lancet (London, England),
T K Kaul, and
B L Fields, and
L S Riggins, and
D A Wyatt, and
C R Jones, and
D Nagle
July 1987,
Comprehensive therapy,
T K Kaul, and
B L Fields, and
L S Riggins, and
D A Wyatt, and
C R Jones, and
D Nagle
May 1986,
Heart & lung : the journal of critical care,
T K Kaul, and
B L Fields, and
L S Riggins, and
D A Wyatt, and
C R Jones, and
D Nagle
September 1994,
The Journal of trauma,
