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ReplyCorrespondence
Natasha O Marcondi, Isadora S Rocco, Douglas W Bolzan, Hayanne O Pauletti, Isis Begot, Natalia R Anjos, Rita Simone L Moreira, Mara LS Nasrala, Walter J Gomes, Solange Guizilini, Ross Arena and Solange Guizilini
Respiratory Care January 2019, 64 (1) 116; DOI: https://doi.org/10.4187/respcare.06693
Natasha O Marcondi
Cardiology and Cardiovascular Surgery Disciplines Escola Paulista de Medicina Federal University of São Paulo São Paulo, Brazil
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Isadora S Rocco
Cardiology and Cardiovascular Surgery Disciplines Escola Paulista de Medicina Federal University of São Paulo São Paulo, Brazil
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Douglas W Bolzan
Cardiology and Cardiovascular Surgery Disciplines Escola Paulista de Medicina Federal University of São Paulo São Paulo, Brazil
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Hayanne O Pauletti
Cardiology and Cardiovascular Surgery Disciplines Escola Paulista de Medicina Federal University of São Paulo São Paulo, Brazil
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Isis Begot
Cardiology and Cardiovascular Surgery Disciplines Escola Paulista de Medicina Federal University of São Paulo São Paulo, Brazil
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Natalia R Anjos
Cardiology and Cardiovascular Surgery Disciplines Escola Paulista de Medicina Federal University of São Paulo São Paulo, Brazil
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Rita Simone L Moreira
Cardiology and Cardiovascular Surgery Disciplines Escola Paulista de Medicina Federal University of São Paulo São Paulo, Brazil
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Mara LS Nasrala
Cardiology and Cardiovascular Surgery Disciplines Escola Paulista de Medicina Federal University of São Paulo São Paulo, Brazil
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Walter J Gomes
Cardiology and Cardiovascular Surgery Disciplines Escola Paulista de Medicina Federal University of São Paulo São Paulo, Brazil
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Solange Guizilini
Cardiology and Cardiovascular Surgery Disciplines Escola Paulista de Medicina Federal University of São Paulo São Paulo, Brazil
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Ross Arena
Department of Physical Therapy College of Applied Health Sciences University of Illinois at Chicago Chicago, Illinois
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Solange Guizilini
Department of Human Motion Sciences Federal University of São Paulo Santos, São Paulo, Brazil
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In Reply:

We are grateful for the thoughtful comments from the authors about the findings of our report.1 Certainly, the well-balanced comments express the experience of this group related to the postoperative care of patients who underwent coronary artery bypass graft surgery.

Very few studies have addressed the correlation between tissue perfusion markers and the use of noninvasive ventilation (NIV). Despite the concerns surrounding the timing of NIV application and the short duration, data from our forthcoming studies have strengthen the findings now reported.2 Regarding the intra-operative course, none of our subjects had mechanical circulatory support with an intra-aortic balloon pump, which is not part of our routine operative strategy. The stratification by technique, either on-pump or off-pump, has already been clarified in our report, where allocation to the technique was based on the surgeon's expertise and not on the severity and extension of the coronary disease.3

Ongoing work from our group will provide new information about the impact of the surgical procedure on the emergent and increasingly high-risk population of patients referred for coronary artery bypass surgery, especially those with COPD4 and left ventricular dysfunction, where current information is worryingly scarce. It is therefore important to emphasize the potential role of NIV as an additional strategy for improving the postoperative care of these high-risk patients, allowing early and safe mobilization after coronary artery bypass graft surgery.

Footnotes

  • The authors have disclosed no conflicts of interest.

  • Copyright © 2019 by Daedalus Enterprises

References

  1. 1.↵
    1. Marcondi NO,
    2. Rocco IS,
    3. Bolzan DW,
    4. Pauletti HO,
    5. Begot I,
    6. Anjos NR,
    7. et al
    . Noninvasive ventilation after coronary artery bypass grafting in subjects with left-ventricular dysfunction. Respir Care 2018;63(7):879–885.
    OpenUrlAbstract/FREE Full Text
  2. 2.↵
    1. Nasrala MLS,
    2. Bolzan DW,
    3. Lage YG,
    4. Prado FS,
    5. Arena R,
    6. Lima PRL,
    7. et al
    . Extended-time of noninvasive positive pressure ventilation improves tissue perfusion after coronary artery bypass surgery: a randomized clinical trial. Braz J Cardiovasc Surg 2018;33(3):250–257.
    OpenUrl
  3. 3.↵
    1. Sousa-Uva M,
    2. Neumann FJ,
    3. Ahlsson A,
    4. Alfonso F,
    5. Banning AP,
    6. Benedetto U,
    7. et al
    . 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur J Cardiothorac Surg 2018 [Epub ahead of print] doi: 10.1093/ejcts/ezy289.
    OpenUrlCrossRef
  4. 4.↵
    1. Viceconte M,
    2. Rocco IS,
    3. Pauletti HO,
    4. Vidotto M,
    5. Arena R,
    6. Gomes WJ,
    7. et al
    . Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass. J Thorac Cardiovasc Surg 2018;156(4):1554–1561.
    OpenUrl
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Respiratory Care: 64 (1)
Respiratory Care
Vol. 64, Issue 1
1 Jan 2019
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Natasha O Marcondi, Isadora S Rocco, Douglas W Bolzan, Hayanne O Pauletti, Isis Begot, Natalia R Anjos, Rita Simone L Moreira, Mara LS Nasrala, Walter J Gomes, Solange Guizilini, Ross Arena, Solange Guizilini
Respiratory Care Jan 2019, 64 (1) 116; DOI: 10.4187/respcare.06693

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Natasha O Marcondi, Isadora S Rocco, Douglas W Bolzan, Hayanne O Pauletti, Isis Begot, Natalia R Anjos, Rita Simone L Moreira, Mara LS Nasrala, Walter J Gomes, Solange Guizilini, Ross Arena, Solange Guizilini
Respiratory Care Jan 2019, 64 (1) 116; DOI: 10.4187/respcare.06693
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