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Infant thoracic surgery: Procedure-dependent pulmonary response
Journal article   Peer reviewed

Infant thoracic surgery: Procedure-dependent pulmonary response

Jay S Greenspan, Deborah A Davis, Pierantonio Russo, Geovanni Speziali, Michael J Antunes, Alan R Spitzer, Thomas H Shaffer and Darian A Davis
Journal of pediatric surgery, v 31(7), pp 878-880
1996
PMID: 8811547

Abstract

Pulmonary compliance Blalock-Taussig shunt coarctation of aorta pulmonary resistance
Respiratory insufficiency is a common complication of thoracic surgery in infants. To better define this dysfunction, pulmonary compliance (C L) and resistance (R) were measured for 17 infants who underwent common thoracic procedures: Blalock-Taussig shunting (n = 7) repair of congenital coarctation of the aorta (n = 10). Measurements were obtained preoperatively and 0, 1, and 3 days postoperatively. Preoperatively, C L was lower and R was similar for the two groups. Both groups had decreased C L and increased R on postoperative day 0; infants with coarctation had recovery to preoperative values by postoperative day 1 for C L, and day 3 for R. C L and R did not return to the preoperative values by postoperative day 3 in infants with a shunt procedure. The changes in R were greater than those in C L for both groups in the postoperative period. These data indicate that such thoracic procedures are associated with pulmonary morbidity that is airway-predominant, and that the degree of compromise and the time until recovery are, in part, procedure-specific.

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Collaboration types
Domestic collaboration
Web of Science research areas
Pediatrics
Surgery
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