Effect of adding postoperative noninvasive ventilation to usual care to prevent pulmonary complications in patients undergoing coronary artery bypass.

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Presentation transcript:

Effect of adding postoperative noninvasive ventilation to usual care to prevent pulmonary complications in patients undergoing coronary artery bypass grafting: A randomized controlled trial Emad Al Jaaly, MD, MRCS, Francesca Fiorentino, PhD, MSc, BSc, Barnaby C. Reeves, MSc, DPhil, Philip W. Ind, MA, FRCP, Gianni D. Angelini, MD, MCh, FRCS, FETCS, FMedSci, Scott Kemp, MBBS, BSc, FRCA, Robert J. Shiner, MRCS, FRCP The Journal of Thoracic and Cardiovascular Surgery Volume 146, Issue 4, Pages 912-918 (October 2013) DOI: 10.1016/j.jtcvs.2013.03.014 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Patient flow in the trial. *All received conventional management. For 6 patients requiring noninvasive ventilation support, this included continuous positive air pressure. †All received BLPAP but for varying duration (median time on BLPAP = 16 hours [interquartile range, 11-19]). ‡Three participants asked to be withdrawn because they could not tolerate BLPAP (duration of BLPAP = 0 hours). BLPAP, Bilevel positive airway pressure; NIV, noninvasive ventilation; COPD, chronic obstructive pulmonary disease. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 912-918DOI: (10.1016/j.jtcvs.2013.03.014) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Proportion of patients fit for discharge. B, Proportion of patients discharged from the CICU. C, Proportion of patients discharged from the hospital. BLPAP, Bilevel positive airway pressure; CICU, cardiac intensive care unit. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 912-918DOI: (10.1016/j.jtcvs.2013.03.014) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions