Acute respiratory distress syndrome after cardiac surgery

Mario Fulvio Luigi Gaudino, Antonino Di Franco, Lisa Q. Rong

Risultato della ricerca: Contributo in rivistaArticolo in rivista

24 Citazioni (Scopus)

Abstract

Acute respiratory distress syndrome (ARDS) is a leading cause of postoperative respiratory failure, with a mortality rate approaching 40% in the general population and 80% in the subset of patients undergoing cardiac surgery. The increased risk of ARDS in these patients has traditionally been associated with the use of cardiopulmonary bypass (CPB), the need for blood product transfusions, large volume shifts, mechanical ventilation and direct surgical insult. Indeed, the impact of ARDS in the cardiac population is substantial, affecting not only survival but also in-hospital length of stay and long-term physical and psychological morbidity. No patient undergoing cardiac surgery can be considered ARDS risk-free. Early identification of those at higher risk is crucial to warrant the adoption of both surgical and non-surgical specific preventative strategies. The present review focuses on epidemiology, risk assessment, pathophysiology, prevention and management of ARDS in the specific setting of patients undergoing cardiac surgery.
Lingua originaleEnglish
pagine (da-a)1177-1186
Numero di pagine10
RivistaJournal of Thoracic Disease
Volume8
DOI
Stato di pubblicazionePubblicato - 2016

Keywords

  • Acute respiratory distress syndrome (ARDS)
  • Cardiac surgery
  • Pulmonary and Respiratory Medicine
  • Respiratory failure

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