Successful weaning from mechanical ventilation after coronary angioplasty

被引：17

作者：

Demoule, A

Lefort, Y

Lopes, ME

Lemaire, F ^{[1
]}

机构：

[1] Univ Hosp Henri Mondor, Med Intens Care Unit, Creteil, France

[2] Univ Paris 12, Fac Med, Creteil, France

[3] Univ Hosp Henri Mondor, Dept Cardiol, Creteil, France

来源：

BRITISH JOURNAL OF ANAESTHESIA | 2004年 / 93卷 / 02期

关键词：

complications; myocardial ischaemia; heart; left ventricular dysfunction; mitral insufficiency; surgery; coronary angioplasty; ventilation; mechanical; weaning;

D O I：

10.1093/bja/aeh185

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

Weaning failure can be caused by myocardial ischaemia during the switch from mechanical to spontaneous ventilation. We report ischaemic left ventricular failure and ischaemic mitral insufficiency during weaning. Angiography showed that the coronary vessels were stenosed. Transluminal angioplasty made weaning possible. We conclude that acute ischaemic mitral insufficiency may contribute to cardiac failure during weaning and that angioplasty, by reversing it, can allow successful weaning.

引用

收藏

页码：295 / 297

页数：3

相关论文

共 12 条

[1]

Abalos A, 1992, Am J Crit Care, V1, P32

[2]

Successful weaning from mechanical ventilation following balloon mitral commissurotomy [J].

Boussarsar, M ;

Besbes, L ;

Gamra, H ;

Nouira, S ;

Elatrous, S ;

Betbout, F ;

BenFarhat, M ;

Abroug, F .

INTENSIVE CARE MEDICINE, 1997, 23 (08) :889-892

[3]

Cardiac ischemia during weaning from mechanical ventilation [J].

Chatila, W ;

Ani, S ;

Guaglianone, D ;

Jacob, B ;

AmoatengAdjepong, Y ;

Manthous, CA .

CHEST, 1996, 109 (06) :1577-1583

[4]

MYOCARDIAL PERFUSION AS ASSESSED BY TL-201 SCINTIGRAPHY DURING THE DISCONTINUATION OF MECHANICAL VENTILATION IN VENTILATOR-DEPENDENT PATIENTS [J].

HURFORD, WE ;

LYNCH, KE ;

STRAUSS, HW ;

LOWENSTEIN, E ;

ZAPOL, WM .

ANESTHESIOLOGY, 1991, 74 (06) :1007-1016

[5]

ASSOCIATION OF MYOCARDIAL-ISCHEMIA WITH FAILURE TO WEAN FROM MECHANICAL VENTILATION [J].

HURFORD, WE ;

FAVORITE, F .

CRITICAL CARE MEDICINE, 1995, 23 (09) :1475-1480

[6]

ACUTE LEFT-VENTRICULAR DYSFUNCTION DURING UNSUCCESSFUL WEANING FROM MECHANICAL VENTILATION [J].

LEMAIRE, F ;

TEBOUL, JL ;

CINOTTI, L ;

GIOTTO, G ;

ABROUK, F ;

STEG, G ;

MACQUINMAVIER, I ;

ZAPOL, WM .

ANESTHESIOLOGY, 1988, 69 (02) :171-179

[7]

ACUTE MYOCARDIAL-INFARCTION COMPLICATED BY RESPIRATORY-FAILURE - THE EFFECTS OF MECHANICAL VENTILATION [J].

RASANEN, J ;

NIKKI, P ;

HEIKKILA, J .

CHEST, 1984, 85 (01) :21-28

[8]

Rasanen J, 1988, J Cardiothorac Anesth, V2, P60, DOI 10.1016/0888-6296(88)90149-4

[9]

LEFT-VENTRICULAR FUNCTION DURING WEANING OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY-DISEASE [J].

RICHARD, C ;

TEBOUL, JL ;

ARCHAMBAUD, F ;

HEBERT, JL ;

MICHAUT, P ;

AUZEPY, P .

INTENSIVE CARE MEDICINE, 1994, 20 (03) :181-186

[10]

THE EFFECTS OF LARGE NEGATIVE INTRA-THORACIC PRESSURE ON LEFT-VENTRICULAR FUNCTION IN PATIENTS WITH CORONARY-ARTERY DISEASE [J].

SCHARF, SM ;

BIANCO, JA ;

TOW, DE ;

BROWN, R .

CIRCULATION, 1981, 63 (04) :871-875