Coronary artery bypass surgery in patients with COPD/respiratory insufficiency: Difference between revisions

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==ACCF/AHA Guidelines for CABG in Patients with Chronic Obstructive Pulmonary Disease/Respiratory Insufficiency<ref name="pmid22064599">{{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.| title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=Circulation | year= 2011 | volume=  | issue=  | pages=  | pmid=22064599 | doi=10.1161/CIR.0b013e31823c074e | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22064599  }} </ref>==
==ACCF/AHA Guidelines for CABG in Patients with Chronic Obstructive Pulmonary Disease/Respiratory Insufficiency<ref name="pmid22064599">{{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.| title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=Circulation | year= 2011 | volume=  | issue=  | pages=  | pmid=22064599 | doi=10.1161/CIR.0b013e31823c074e | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22064599  }} </ref>==
{{cquote|
===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]===


'''1.''' Preoperative intensive inspiratory muscle training is reasonable to reduce the incidence of pulmonary complications in patients at high risk for respiratory complications after CABG.<ref name="pmid17047215">{{cite journal |author=Hulzebos EH, Helders PJ, Favié NJ, De Bie RA, Brutel de la Riviere A, Van Meeteren NL |title=Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery: a randomized clinical trial |journal=[[JAMA : the Journal of the American Medical Association]] |volume=296 |issue=15 |pages=1851–7 |year=2006 |month=October |pmid=17047215 |doi=10.1001/jama.296.15.1851 |url=http://jama.ama-assn.org/cgi/pmidlookup?view=long&pmid=17047215 |accessdate=2011-12-19}}</ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''
{|class="wikitable"
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]
|-
|bgcolor="LemonChiffon"|
<nowiki>"</nowiki>'''1.''' Preoperative intensive inspiratory muscle training is reasonable to reduce the incidence of pulmonary complications in patients at high risk for respiratory complications after CABG.<ref name="pmid17047215">{{cite journal |author=Hulzebos EH, Helders PJ, Favié NJ, De Bie RA, Brutel de la Riviere A, Van Meeteren NL |title=Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery: a randomized clinical trial |journal=[[JAMA : the Journal of the American Medical Association]] |volume=296 |issue=15 |pages=1851–7 |year=2006 |month=October |pmid=17047215 |doi=10.1001/jama.296.15.1851 |url=http://jama.ama-assn.org/cgi/pmidlookup?view=long&pmid=17047215 |accessdate=2011-12-19}}</ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki>
|}


===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIb]]===
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'''1.''' After CABG, noninvasive positive pressure ventilation may be reasonable to improve pulmonary mechanics and to reduce the need for reintubation.<ref name="pmid19061704">{{cite journal |author=Haeffener MP, Ferreira GM, Barreto SS, Arena R, Dall'Ago P |title=Incentive spirometry with expiratory positive airway pressure reduces pulmonary complications, improves pulmonary function and 6-minute walk distance in patients undergoing coronary artery bypass graft surgery |journal=[[American Heart Journal]] |volume=156 |issue=5 |pages=900.e1–900.e8 |year=2008 |month=November |pmid=19061704 |doi=10.1016/j.ahj.2008.08.006 |url=http://linkinghub.elsevier.com/retrieve/pii/S0002-8703(08)00666-2 |accessdate=2011-12-19}}</ref><ref name="pmid19017864">{{cite journal |author=Zarbock A, Mueller E, Netzer S, Gabriel A, Feindt P, Kindgen-Milles D |title=Prophylactic nasal continuous positive airway pressure following cardiac surgery protects from postoperative pulmonary complications: a prospective, randomized, controlled trial in 500 patients |journal=[[Chest]] |volume=135 |issue=5 |pages=1252–9 |year=2009 |month=May |pmid=19017864 |doi=10.1378/chest.08-1602 |url=http://www.chestjournal.org/cgi/pmidlookup?view=long&pmid=19017864 |accessdate=2011-12-19}}</ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''
| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIb]]
 
|-
'''2.''' High thoracic epidural analgesia may be considered to improve lung function after CABG.<ref name="pmid15220785">{{cite journal |author=Liu SS, Block BM, Wu CL |title=Effects of perioperative central neuraxial analgesia on outcome after coronary artery bypass surgery: a meta-analysis |journal=[[Anesthesiology]] |volume=101 |issue=1 |pages=153–61 |year=2004 |month=July |pmid=15220785 |doi= |url=http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=0003-3022&volume=101&issue=1&spage=153 |accessdate=2011-12-19}}</ref><ref name="pmid19029264">{{cite journal |author=Kofidis T, Baraki H, Singh H, Kamiya H, Winterhalter M, Didilis V, Emmert M, Woitek F, Haverich A, Klima U |title=The minimized extracorporeal circulation system causes less inflammation and organ damage |journal=[[Perfusion]] |volume=23 |issue=3 |pages=147–51 |year=2008 |month=May |pmid=19029264 |doi=10.1177/0267659108097880 |url=http://prf.sagepub.com/cgi/pmidlookup?view=long&pmid=19029264 |accessdate=2011-12-19}}</ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''}}
|bgcolor="LemonChiffon"|
<nowiki>"</nowiki>'''1.''' After CABG, noninvasive positive pressure ventilation may be reasonable to improve pulmonary mechanics and to reduce the need for reintubation.<ref name="pmid19061704">{{cite journal |author=Haeffener MP, Ferreira GM, Barreto SS, Arena R, Dall'Ago P |title=Incentive spirometry with expiratory positive airway pressure reduces pulmonary complications, improves pulmonary function and 6-minute walk distance in patients undergoing coronary artery bypass graft surgery |journal=[[American Heart Journal]] |volume=156 |issue=5 |pages=900.e1–900.e8 |year=2008 |month=November |pmid=19061704 |doi=10.1016/j.ahj.2008.08.006 |url=http://linkinghub.elsevier.com/retrieve/pii/S0002-8703(08)00666-2 |accessdate=2011-12-19}}</ref><ref name="pmid19017864">{{cite journal |author=Zarbock A, Mueller E, Netzer S, Gabriel A, Feindt P, Kindgen-Milles D |title=Prophylactic nasal continuous positive airway pressure following cardiac surgery protects from postoperative pulmonary complications: a prospective, randomized, controlled trial in 500 patients |journal=[[Chest]] |volume=135 |issue=5 |pages=1252–9 |year=2009 |month=May |pmid=19017864 |doi=10.1378/chest.08-1602 |url=http://www.chestjournal.org/cgi/pmidlookup?view=long&pmid=19017864 |accessdate=2011-12-19}}</ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki>
|-
|bgcolor="LemonChiffon"|
<nowiki>"</nowiki>'''2.''' High thoracic epidural analgesia may be considered to improve lung function after CABG.<ref name="pmid15220785">{{cite journal |author=Liu SS, Block BM, Wu CL |title=Effects of perioperative central neuraxial analgesia on outcome after coronary artery bypass surgery: a meta-analysis |journal=[[Anesthesiology]] |volume=101 |issue=1 |pages=153–61 |year=2004 |month=July |pmid=15220785 |doi= |url=http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=0003-3022&volume=101&issue=1&spage=153 |accessdate=2011-12-19}}</ref><ref name="pmid19029264">{{cite journal |author=Kofidis T, Baraki H, Singh H, Kamiya H, Winterhalter M, Didilis V, Emmert M, Woitek F, Haverich A, Klima U |title=The minimized extracorporeal circulation system causes less inflammation and organ damage |journal=[[Perfusion]] |volume=23 |issue=3 |pages=147–51 |year=2008 |month=May |pmid=19029264 |doi=10.1177/0267659108097880 |url=http://prf.sagepub.com/cgi/pmidlookup?view=long&pmid=19029264 |accessdate=2011-12-19}}</ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki>
|}


==Guidelines Resources==
==Guidelines Resources==

Revision as of 15:58, 3 October 2012

Coronary Artery Bypass Surgery Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Varun Kumar, M.B.B.S. [2]

ACCF/AHA Guidelines for CABG in Patients with Chronic Obstructive Pulmonary Disease/Respiratory Insufficiency[1]

Class IIa

"1. Preoperative intensive inspiratory muscle training is reasonable to reduce the incidence of pulmonary complications in patients at high risk for respiratory complications after CABG.[2] (Level of Evidence: B)"

Class IIb

"1. After CABG, noninvasive positive pressure ventilation may be reasonable to improve pulmonary mechanics and to reduce the need for reintubation.[3][4] (Level of Evidence: B)"

"2. High thoracic epidural analgesia may be considered to improve lung function after CABG.[5][6] (Level of Evidence: B)"

Guidelines Resources

  • 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[1]

References

  1. ↑ 1.0 1.1 Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG; et al. (2011). "2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation. doi:10.1161/CIR.0b013e31823c074e. PMID 22064599.
  2. ↑ Hulzebos EH, Helders PJ, Favié NJ, De Bie RA, Brutel de la Riviere A, Van Meeteren NL (2006). "Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery: a randomized clinical trial". JAMA : the Journal of the American Medical Association. 296 (15): 1851–7. doi:10.1001/jama.296.15.1851. PMID 17047215. Retrieved 2011-12-19. Unknown parameter |month= ignored (help)
  3. ↑ Haeffener MP, Ferreira GM, Barreto SS, Arena R, Dall'Ago P (2008). "Incentive spirometry with expiratory positive airway pressure reduces pulmonary complications, improves pulmonary function and 6-minute walk distance in patients undergoing coronary artery bypass graft surgery". American Heart Journal. 156 (5): 900.e1–900.e8. doi:10.1016/j.ahj.2008.08.006. PMID 19061704. Retrieved 2011-12-19. Unknown parameter |month= ignored (help)
  4. ↑ Zarbock A, Mueller E, Netzer S, Gabriel A, Feindt P, Kindgen-Milles D (2009). "Prophylactic nasal continuous positive airway pressure following cardiac surgery protects from postoperative pulmonary complications: a prospective, randomized, controlled trial in 500 patients". Chest. 135 (5): 1252–9. doi:10.1378/chest.08-1602. PMID 19017864. Retrieved 2011-12-19. Unknown parameter |month= ignored (help)
  5. ↑ Liu SS, Block BM, Wu CL (2004). "Effects of perioperative central neuraxial analgesia on outcome after coronary artery bypass surgery: a meta-analysis". Anesthesiology. 101 (1): 153–61. PMID 15220785. Retrieved 2011-12-19. Unknown parameter |month= ignored (help)
  6. ↑ Kofidis T, Baraki H, Singh H, Kamiya H, Winterhalter M, Didilis V, Emmert M, Woitek F, Haverich A, Klima U (2008). "The minimized extracorporeal circulation system causes less inflammation and organ damage". Perfusion. 23 (3): 147–51. doi:10.1177/0267659108097880. PMID 19029264. Retrieved 2011-12-19. Unknown parameter |month= ignored (help)

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