J Thorac Cardiovasc Surg 2007;134:825-826
© 2007 The American Association for Thoracic Surgery
Reply to the Editor
David V. Pilcher, MRCP, FJFICMa,
Georg M. Auzinger, MRACPa,
Biswadev Mitra, MBBSa,
David V. Tuxen, FRACP, FJFICMa,
Robert F. Salamonsen, FANZCAa,
Andrew R. Davies, FRACPa,
Trevor J. Williams, FRACPb,
Gregory I. Snell, FRACPb
a Department of Intensive Care, The Alfred Hospital, Melbourne, Victoria, Australia
b Department of Allergy, Immunology, and Respiratory Medicine, The Alfred Hospital, Melbourne, Victoria, Australia
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We thank Augoustides for his comments and thoughts about our article.1
He notes the high mortality rate of those undertaking independent lung ventilation (ILV) and suggests that trials assessing early extubation with appropriate anesthetic modification may be a solution. Clearly in this retrospective case series we cannot assess causation; that is, we cannot say whether the use of ILV was actually harmful, nor whether in balance it increased mortality. We would contend that when ILV was initiated, patients had reached a point at which they could not be sustained without . . . [Full Text of this Article]
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- John G.T. Augoustides
J. Thorac. Cardiovasc. Surg. 2007 134: 825.
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Copyright © 2007 by The American Association for Thoracic Surgery.