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Effect of ultrafiltration on extravascular lung water assessed by lung ultrasound in children undergoing cardiac surgery: a randomized prospective study

机译:肺部超声评估超滤对接受心脏手术的儿童的血管外肺水的影响:一项随机前瞻性研究

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摘要

BackgroundIncreased lung water and the resultant atelectasis are significant pulmonary complications after cardiopulmonary bypass (CPB) in children undergoing cardiac surgery; these complications are observed after CPB than after anaesthesia alone. Ultrafiltration has been shown to decrease total body water and postoperative blood loss and improve the alveolar to arterial oxygen gradient and pulmonary compliance. This study investigated whether conventional ultrafiltration during CPB in paediatric heart surgeries influences post-bypass extravascular lung water (EVLW) assessed by lung ultrasound (LUS).
机译:背景进行心脏外科手术的儿童中,肺水增加和由此产生的肺不张是严重的肺部并发症,发生在体外循环(CPB)后。在CPB后观察到的这些并发症要比单纯麻醉后观察到的复杂。研究表明,超滤可减少体内总水分和术后失血,并改善肺泡至动脉的氧梯度和肺顺应性。这项研究调查了小儿心脏手术中CPB期间的常规超滤是否会影响通过肺部超声(LUS)评估的旁路后血管外肺水(EVLW)。

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