Pathophysiological Impact of Delayed Sternal Closure on the Respiratory System and Hemodynamics in Pediatric Cardiac Surgery Patients

Delayed sternal closure increased P<sub>pl</sub> by ∼2 cm H<sub>2</sub>O, which may reduce lung compliance without affecting chest wall compliance and contribute to hemodynamic stress. These changes may necessitate optimized respiratory and circulatory support during and after delayed sternal closure.

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Publication Details

Journal
Respiratory Care
Published
2026-02-26
DOI
https://doi.org/10.1177/19433654261418977
Primary Topic
Surgical site infection prevention
Type
article
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article

Pathophysiological Impact of Delayed Sternal Closure on the Respiratory System and Hemodynamics in Pediatric Cardiac Surgery Patients

Miyako Kyogoku, Muneyuki Takeuchi, Keisuke Nishida
Respiratory Care
Surgical site infection prevention
article

Pathophysiological Impact of Delayed Sternal Closure on the Respiratory System and Hemodynamics in Pediatric Cardiac Surgery Patients

Miyako Kyogoku, Muneyuki Takeuchi, Keisuke Nishida
article en

Abstract

Delayed sternal closure increased P<sub>pl</sub> by ∼2 cm H<sub>2</sub>O, which may reduce lung compliance without affecting chest wall compliance and contribute to hemodynamic stress. These changes may necessitate optimized respiratory and circulatory support during and after delayed sternal closure.

Respiratory Care
National Cerebral and Cardiovascular Center (JP)
Good health and well-being
Openalex Percentile: Top 42%
Surgical site infection prevention
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