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Submitted: 04 April 2019 Modified: 17 July 2019
HERDIN Record #: 100731-1904041158302

Pulmonary complications after coronary bypass graft surgery.

John Clifford U. Martyr,
Ma. Encarnita Blanco-Limpin,
Teresita S. de Guia

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Introduction: Pulmonary complications are the most common form of postoperative morbidity experienced by surgical patients.


Objectives: To determine the incidence of postoperative pulmonary complications after coronary artery bypass graft surgery and the factors predisposing to these complications.


Methodology: Retrospective medical record review of adults after coronary artery bypass graft surgery at the Philippine Heart Center. Demographic data collected: age, sex, weight, height and smoking history. History of chronic obstructive pulmonary disease (COPD), diabetes and hypertension were noted. Complications observed were atelectasis, pneumonia, congestion/edema, pneumothorax, effusion, prolonged intubation and death. Perioperative parameters noted include; duration of operation and anesthesia, ischemic and bypass times, number of vessels involved and source of grafts used. Post extubation maneuvers and incentive spirometry were noted.


Results: Among 232 patients, 191 (82.33%), had complications. Pleural effusion was the most common (24.28%) followed by congestionledema (23.50%) and atelectasis (2l.15%). Smoking history was related to more incidence of pneumonia (14/145,9.66%, p=0.023). Patients without COPD had prolonged intubation (15/24, 62.5%, p=0.038) times than COPD patients (2/11, 18.8%). Non-hypertensives had more pneumonia 9/60 compared to hypertensives 5/158 (p=O.003). Duration of anesthesia and of operation showed an association with mortality. A longer ischemic time may predispose patients to pneumonia and death. A shorter bypass time may be associated with atelectasis. Post extubation, incentive spirometry was related significantly to congestion (p=O.007)

Publication Type
Research Report
Date
January 1-December 31, 2001
LocationLocation CodeAvailable FormatAvailability
Philippine Heart Center Medical Library CRF.R.043.0 Abstract Print Format