Cardiac Surgery Clinical Trial
Official title:
Interest of the Not Invasive Ventilation Used in Meadow and Post-operative of Cardiac Surgery, in Disease Prevention of the Cardiac and/or Lung Complications at the Patients at Risk.
After cardiac surgery, many complications can arise, in particular at the cardiac and lung
level and it is true especially as the patient is with comorbidity. A patient will be
considered at risk of a cardiac surgery if risk factors are present in preoperative (obesity,
Chronic obstructive pulmonary disease (COPD), etc...). The non-invasive ventilation
(NIV)developed these last years in the treatment of acute cardiac insufficiency and the
hypercapnic COPD exacerbations; its use is more and more envisaged in cardio-thoracic and
abdominal surgery services.
Studies showed that the NIV allowed an improvement of the oxygenation, the lung volumes and a
decrease of ventilation work. According to these observations, the preventive NIV could
reduce the incidence of appearance of the lung and/or cardiac complications at the patients
to risk. we estimate 40 to 50%of cardiac surgery patients at a high risk level and we expect
to obtain a benefit with this particular population. If we meet our goal (a significant
difference in terms of morbi-mortality with the preventive NIV versus classical care), we
expect the systematisation of this procedure to all cardiac surgery high risk patients.
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