Management of Ventilation after Open Heart Surgery

  • K. D. Hall
  • I. H. Talton
Conference paper
Part of the Anaesthesiology and Resuscitation / Anaesthesiologie und Wiederbelebung / Anesthésiologie et Réanimatión book series (A+I, volume 80)


The ventilatory care of the postoperative cardiac patient is subject to the same physiological principles as the care of any postsurgical or postanesthetic patient, except that it requires more expert observance and management. Even small untoward trends must be immediately recognized and corrected to prevent progressive deterioration of the patient. The monitoring systems that we use to maintain these delicate balances are continuous recording of direct arterial and venous pressures and electrocardiogram, and frequent determinations of arterial blood gases, pH, and serum or plasma electrolytes. The regulatory devices that we employ are our mechanical ventilators.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Comroe, J. H., Jr., Forster, R. E., II., Dubois, A. B., Briscoe, W. A., Carlsen, E.: The Lung, 2nd ed. p. 194. Year Book Medical Publishers, Inc., 1962.Google Scholar
  2. 2.
    Kety, S. S., Schmidt, C. F.: The Effects of Active and Passive Hyperventilation on Cerebral Blood Flow Cerebral Oxygen Consumption, Cardiac Output, and Blood Pressure of Normal Young Men. J. clin. Invest. XXV, 111 (1946).Google Scholar
  3. 3.
    Pierce, E. C.: Cerebral Blood Flow and Uptake of Anesth. Anes. 25, 1, Jan.-Febr. (1964).CrossRefGoogle Scholar
  4. 4.
    Hall, K. D., Reeser, F. H., Jr.: Serum Potassium Levels in Hyperventilated Dogs. Proc. Soc. exp. biol. (N. Y.) 3, 252 (1962).Google Scholar
  5. 5.
    Flemma, R. J., Young, W. G.: The Metabolic Effects of Mechanical Ventilation and Respiratory Alkalosis in Postoperative Patients. Surgery 56, 37 (1964).Google Scholar
  6. 6.
    Hall, K. D., Vartanian, V.: Control of Serum Potassium Levels in the Hyperventilated Postoperative Cardiac Patient. Said med. J. 61, 4, 417, April (1968).Google Scholar
  7. 7.
    Kylstra, J A., Rausch, D. C., Hall, K. D., Srocx, A.: Volume Controlled Lung Lavage in the Treatment of Asthma Bronchiectasis and Mucoviscidosis. Amer. Rev. resp. Dis., May 1971 (in press).Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1974

Authors and Affiliations

  • K. D. Hall
  • I. H. Talton

There are no affiliations available

Personalised recommendations