Atelectasis Clinical Trial
Official title:
Lung Recruitment Improves Right Ventricle Performance After Cardio-Pulmonary Bypass
This study test whether a lung recruitment maneuver improves the right ventricle performance after cardiopulmonary bypass. Half of the patients received an standard protective ventilation and the other half the same ventilatory pattern after a lung recruitment maneuver.
Atelectasis is developed in 90% of anesthetized patients after surgery.
Protective ventilation with low tidal volumes and positive-end expiratory pressure (PEEP)
promotes atelectasis with the potential right ventricle dysfunction induced by the increment
in afterload (activation of the pulmonary hypoxic vasocontriction reflex).
Lung recruitment can improve the right ventricle performance caused by atelectasis because
the pulmonary hypoxic vasocontriction reflex desapear in a normal aerated lungs.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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