Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1985-8-29
pubmed:abstractText
We studied respiratory mechanics and phrenic nerve and diaphragm function in 12 patients on the day before and eight to 13 days after coronary artery bypass grafting. The average vital capacity, functional residual capacity, and total lung capacity decreased by 20.5%, 9.5%, and 14.7% respectively after operation. Eleven patients showed less negative maximum inspiratory mouth pressures at any given lung volume after surgery and the magnitude of the change correlated with the reduction in total lung capacity. In 11 of the 12 patients the conduction times of the right and left phrenic nerves did not change substantially after operation and the ratio of inspiratory electrical activity (Edi) of left and right hemidiaphragms was similar before and after the procedure. One patient, however, showed a considerable increase in left phrenic nerve conduction time and a reduction in the left to right Edi ratio postoperatively. In three patients diaphragm function was also assessed by changes in transdiaphragmatic pressure during supramaximal phrenic nerve stimulation and voluntary increase in inspired volume; in none of the three patients did the transdiaphragmatic pressure swings show any significant change in the postoperative period. These data indicate that phrenic nerve paralysis only occasionally accounts for the postoperative loss of lung volume after coronary artery bypass grafting surgery. The mechanism of these abnormalities therefore remains to be determined.
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/3875161-1062815, http://linkedlifedata.com/resource/pubmed/commentcorrection/3875161-13681667, http://linkedlifedata.com/resource/pubmed/commentcorrection/3875161-305330, http://linkedlifedata.com/resource/pubmed/commentcorrection/3875161-383417, http://linkedlifedata.com/resource/pubmed/commentcorrection/3875161-4221861, http://linkedlifedata.com/resource/pubmed/commentcorrection/3875161-4294147, http://linkedlifedata.com/resource/pubmed/commentcorrection/3875161-4606381, http://linkedlifedata.com/resource/pubmed/commentcorrection/3875161-6606535, http://linkedlifedata.com/resource/pubmed/commentcorrection/3875161-6975951, http://linkedlifedata.com/resource/pubmed/commentcorrection/3875161-7044611, http://linkedlifedata.com/resource/pubmed/commentcorrection/3875161-7056086, http://linkedlifedata.com/resource/pubmed/commentcorrection/3875161-7376125, http://linkedlifedata.com/resource/pubmed/commentcorrection/3875161-849029
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0040-6376
pubmed:author
pubmed:issnType
Print
pubmed:volume
40
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
293-9
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:year
1985
pubmed:articleTitle
Phrenic and diaphragm function after coronary artery bypass grafting.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't