Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim
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Ann Fr Anesth Reanim · May 2012
Review[Intraoperative ventilatory strategy in cardiac surgery: towards a multimodal approach].
Cardiac surgery with or without cardiopulmonary bypass (CPB) remains associated to respiratory morbidity. The underlying mechanisms are multiple. ⋯ The limitation of the inspired fraction, assisted ventilation controlled with low tidal volume, maintenance of ventilation during CPB and finally, a maneuver of vital capacity are the main components of respiratory management. Thus, to be fully effective, these strategies should be integrated into a multimodal approach starting from the induction and followed until ICU.