Strategies for lung protection in adult patients undergoing cardiac surgery with cardiopulmonary bypass
Wang Yi
Hou Lihong
Abstract：Postoperative pulmonary complications(PPCs)are prevalent following adult cardiac surgery with cardiopulmonary bypass,presenting with diverse clinical manifestations and complex mechanisms that are closely linked to inflammation and oxidative stress.This article reviews lung protection strategies in adult cardiac surgery with cardiopulmonary bypass,encompassing innovations in surgical and bypass techniques,optimization of perioperative management—such as lung-protective ventilation strategies,selection of anesthetic drugs,blood glucose regulation,and rational transfusion of blood products-as well as pharmacological interventions and respiratory muscle training.A comprehensive understanding of existing treatment methods and their combinations can help to formulate individualized treatment strategies for various patient populations,thereby maximizing patient benefits and alleviating the medical burden.
Keywords：Cardiac surgeryCardiopulmonary bypassPulmonary complicationsPerioperative managementPharmacological interventionMechanical ventilation
Publication Date：2025-06-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 275-280 )