Mechanical ventilation following cardiac surgery in children
The application of positive pressure mechanical ventilation can result in complex changes in pulmonary and cardiovascular physiology. These cardiopulmonary interactions are particularly important in pediatric patients undergoing surgery for repair or palliation of congenital cardiac defects. In this article, we review the various effects of mechanical ventilation on right and left ventricular preload, afterload and contractility. We also address specific clinical scenarios, such as mechanical ventilation of the uncomplicated patient following cardiac surgery, ventilation of patients with delayed sternal closure, the Norwood procedure, bidirectional and total cavopulmonary anastomoses and patients with right ventricular diastolic dysfunction. © 2012 Bentham Science Publishers.
Duke Scholars
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Related Subject Headings
- Respiratory System
- 3201 Cardiovascular medicine and haematology
- 1699 Other Studies in Human Society
- 1102 Cardiorespiratory Medicine and Haematology
Citation
Published In
DOI
EISSN
ISSN
Publication Date
Volume
Issue
Start / End Page
Related Subject Headings
- Respiratory System
- 3201 Cardiovascular medicine and haematology
- 1699 Other Studies in Human Society
- 1102 Cardiorespiratory Medicine and Haematology