Difficult Respiratory Weaning after Cardiac Surgery: A Narrative Review.
cardiac surgery
respiratory weaning
tracheostomy
ventilation
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
07 Jan 2023
07 Jan 2023
Historique:
received:
16
11
2022
revised:
28
12
2022
accepted:
04
01
2023
entrez:
21
1
2023
pubmed:
22
1
2023
medline:
22
1
2023
Statut:
epublish
Résumé
Respiratory weaning after cardiac surgery can be difficult or prolonged in up to 22.7% of patients. The inability to wean from a ventilator within the first 48 h after surgery is related to increased short- and long-term morbidity and mortality. Risk factors are mainly non-modifiable and include preoperative renal failure, New York Heart Association, and Canadian Cardiac Society classes as well as surgery and cardio-pulmonary bypass time. The positive effects of pressure ventilation on the cardiovascular system progressively fade during the progression of weaning, possibly leading to pulmonary oedema and failure of spontaneous breathing trials. To prevent this scenario, some parameters such as pulmonary artery occlusion pressure, echography-assessed diastolic function, brain-derived natriuretic peptide, and extravascular lung water can be monitored during weaning to early detect hemodynamic decompensation. Tracheostomy is considered for patients with difficult and prolonged weaning. In such cases, optimal patient selection, timing, and technique may be important to try to reduce morbidity and mortality in this high-risk population.
Identifiants
pubmed: 36675426
pii: jcm12020497
doi: 10.3390/jcm12020497
pmc: PMC9867514
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Références
Nutrients. 2022 Oct 20;14(20):
pubmed: 36297079
J Thorac Cardiovasc Surg. 2007 Aug;134(2):484-90
pubmed: 17662794
Minerva Anestesiol. 2012 Apr;78(4):415-25
pubmed: 22310189
Sci Rep. 2022 Jul 14;12(1):12044
pubmed: 35835785
J Cardiothorac Vasc Anesth. 2019 Jan;33(1):91-92
pubmed: 30143359
Ann Transl Med. 2018 Sep;6(18):354
pubmed: 30370281
Int J Cardiovasc Imaging. 2015 Dec;31(8):1497-502
pubmed: 26216649
JAMA. 2013 May 22;309(20):2130-8
pubmed: 23689848
Crit Care. 2008;12(1):R18
pubmed: 18284668
J Am Coll Cardiol. 2003 Aug 20;42(4):668-76
pubmed: 12932599
J Thorac Dis. 2016 Dec;8(12):3633-3638
pubmed: 28149558
Respir Care. 2015 Jan;60(1):56-62
pubmed: 25336535
Acute Crit Care. 2021 Nov;36(4):369-373
pubmed: 34784454
Intensive Care Med. 2019 May;45(5):601-608
pubmed: 30863935
Crit Care Med. 2015 Mar;43(3):665-73
pubmed: 25513786
Curr Opin Crit Care. 2023 Feb 1;29(1):19-25
pubmed: 36484170
Crit Care. 2020 Dec 22;24(1):700
pubmed: 33353548
Br J Anaesth. 2021 Jan;126(1):319-330
pubmed: 32988600
Crit Care Med. 2009 May;37(5):1696-701
pubmed: 19325473
Eur Respir J. 2007 May;29(5):1033-56
pubmed: 17470624
Crit Care. 2015 Feb 24;19:48
pubmed: 25887887
Front Physiol. 2022 Jul 15;13:858046
pubmed: 35910563
JAMA Otolaryngol Head Neck Surg. 2021 May 1;147(5):450-459
pubmed: 33704354
JPEN J Parenter Enteral Nutr. 2015 Sep;39(7):870-4
pubmed: 24898210
JAMA. 2018 Nov 13;320(18):1881-1888
pubmed: 30347090
J Thorac Cardiovasc Surg. 2009 Oct;138(4):948-53
pubmed: 19660336
Nurs Clin North Am. 2008 Mar;43(1):1-15; v
pubmed: 18249222
Curr Opin Crit Care. 2022 Jun 1;28(3):322-330
pubmed: 35653254
Eur J Cardiothorac Surg. 2004 Apr;25(4):548-52
pubmed: 15037270
Ann Thorac Surg. 2011 Aug;92(2):528-33
pubmed: 21481841
Eur J Prev Cardiol. 2014 Apr;21(4):475-83
pubmed: 22739686
Anesthesiology. 2020 May;132(5):947-948
pubmed: 32265347
J Cardiothorac Vasc Anesth. 2019 Jan;33(1):82-90
pubmed: 30049523
BMC Cardiovasc Disord. 2022 Mar 9;22(1):94
pubmed: 35264113
Turk Gogus Kalp Damar Cerrahisi Derg. 2021 Oct 20;29(4):457-464
pubmed: 35096442
Aust Crit Care. 2015 Aug;28(3):116-21
pubmed: 25575891
J Thorac Cardiovasc Surg. 2005 Nov;130(5):1270-7
pubmed: 16256778
Am J Respir Crit Care Med. 2017 Jan 1;195(1):120-133
pubmed: 27762595
Intensive Care Med. 2016 Jul;42(7):1107-17
pubmed: 26951426
Interact Cardiovasc Thorac Surg. 2012 Jul;15(1):51-6
pubmed: 22495507
Curr Opin Crit Care. 2014 Oct;20(5):493-8
pubmed: 25159477
Crit Care. 2012 May 14;16(3):R81
pubmed: 22583512
Crit Care Med. 2014 Aug;42(8):1882-9
pubmed: 24717458
Ann Intensive Care. 2019 Jan 9;9(1):6
pubmed: 30627804
Chest. 2017 Dec;152(6):1140-1150
pubmed: 28864053
JPEN J Parenter Enteral Nutr. 1981 Mar-Apr;5(2):161-3
pubmed: 6787232
Ann Thorac Surg. 2021 Feb;111(2):594-599
pubmed: 32619618
Curr Opin Crit Care. 2013 Feb;19(1):57-64
pubmed: 23235542
Ann Otol Rhinol Laryngol. 2021 Mar;130(3):304-306
pubmed: 32741194
Intensive Care Med. 2010 Jul;36(7):1171-9
pubmed: 20352189
Minerva Anestesiol. 2007 Dec;73(12):615-21
pubmed: 18046291
Int J Clin Pract. 2021 Nov;75(11):e14850
pubmed: 34516015
Am J Respir Crit Care Med. 2012 Dec 15;186(12):1256-63
pubmed: 22997204
Nutrients. 2018 May 11;10(5):
pubmed: 29751629
J Cardiothorac Vasc Anesth. 2019 Nov;33(11):3143-3162
pubmed: 31101509
Curr Opin Crit Care. 2021 Feb 1;27(1):29-36
pubmed: 33337620
J Thorac Cardiovasc Surg. 2017 Jun;153(6):1394-1400.e7
pubmed: 27964980
Crit Care. 2016 Nov 12;20(1):369
pubmed: 27836002
JAMA. 2019 Jun 11;321(22):2175-2182
pubmed: 31184740
Respir Care. 2019 Jan;64(1):17-25
pubmed: 30206129
Intensive Care Med. 2017 Jan;43(1):29-38
pubmed: 27620292
Medicines (Basel). 2022 Jan 11;9(1):
pubmed: 35049938
Crit Care. 2014 Jan 09;18(1):R8
pubmed: 24401636
Crit Care. 2017 Jun 19;21(1):147
pubmed: 28625165
J Cardiovasc Thorac Res. 2014;6(4):211-6
pubmed: 25610551
Ann Thorac Surg. 2021 May;111(5):1537-1544
pubmed: 32979372
N Engl J Med. 2022 Nov 17;387(20):1843-1854
pubmed: 36286317
Cureus. 2020 Aug 23;12(8):e9953
pubmed: 32983659
J Cardiothorac Vasc Anesth. 2014 Jun;28(3):493-6
pubmed: 24525162
Int Heart J. 2005 Sep;46(5):819-31
pubmed: 16272773
Cochrane Database Syst Rev. 2016 Jul 20;7:CD008045
pubmed: 27437615
Ann Thorac Surg. 2007 Aug;84(2):528-36
pubmed: 17643630
J Cardiothorac Vasc Anesth. 2022 Aug;36(8 Pt A):2335-2338
pubmed: 34756803
Crit Care Med. 2022 May 1;50(5):750-759
pubmed: 34582414
Crit Care Med. 2007 Jan;35(1):132-8
pubmed: 17133180
Intensive Care Med. 2016 Sep;42(9):1360-73
pubmed: 27334266