[Post-operative respiratory management of patients with ventricular septal defect with pulmonary hypertension (VSD+PH)].
Post-operative respiratory management was evaluated in patients with VSD+PH. Comparison was made between Group I (6 patients under 6 months) and Group II (10 patients 6 months or above). Oxygenation after surgical operation in Gp I was poor and the patients needed longer period of mechanical ventilation (MV), while Gp II patients required shorter duration of MV. In Gp I, the duration of MV after the cardiac surgery correlated with the length of cardiopulmonary bypass. In conclusion, cardiopulmonary bypass may influence the post-operative pulmonary function and patients who require longer period of MV are younger infants or newborns whose pulmonary function is immature and PH is severe.
Horibe
M
M
Department of Anesthesia and Cardiovascular Surgery, Akane-kai Tsuchiya General Hospital, Hiroshima.
Izumi
H
H
Tamura
H
H
Tanaka
H
H
Tani
H
H
Arai
K
K
Mochizuki
T
T
Tsuchiya
T
T
D000367:Age Factors; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications*; D007223:Infant; D008297:Male; D011182:Postoperative Care / Q000379:methods*; D012121:Respiration, Artificial; D012189:Retrospective Studies