recruitment maneuvers with different pressure control levels in ards patients

• DOI: 10.1186/cc1379
• Publication Date: 2002-09-26T12:07:27Z
• Authors: CSV Barbas; E Silva; A Garrido; M Assunção; C Hoelz; EC Meyer; E Knobel

Objectives: In the treatment of acute myocardial infarction (MI), time delay to achieve reperfusion infarction-related artery has been linked survival rates.Primary or direct angioplasty found be an excellent means achieving in ST-elevation MI compared thrombolytic therapy randomized trials.However, no mortality benefit primary over thrombolysis was observed several registries, which delays performing were longer.Our objectives evaluate door-to-balloon (DBT) our institution and investigate its relationship with clinical prognostic variables. Methods:We studied, retrospectively, 67 patients submitted angioplasty, from January 1999 November 2000.We divided patient population into two groups.Group A (GA) included DBT less than 120 min group B (GB) greater equal min.We evaluated variables, such as left ventricular ejection fraction (LVEF) on their first echocardiogram during hospitalization, admission Killip classification, in-hospital length stay (LOS) major cardiovascular events (MACE) hospitalization up 6-month follow-up (in 23 patients). Results:The median 132 mean 165 min, a standard deviation 137 for all cases.We had 32 GA 35 (52%) GB.We four deaths, GB.The LVEF 53.1 ± 9% 46.1 13% GB (P = 0.059).Admission class 1 noted three each group.The LOS similar both groups (GA 8.35 4 8.33 days; NS).In-hospital occurred eight (25%) seven (20%; NS).Only five 6 months, (NS). Conclusion:DBT 2 h are common it more half angioplasties.Greater DBTs associated trend larger dysfunction early after MI.Monitoring measures reduce crucial potential prognosis improvement offered by broadening use management MI.