Coronary artery bypass surgery in patients with COPD/respiratory insufficiency



==ACCF/AHA Guidelines for CABG in Patients with Chronic Obstructive Pulmonary Disease/Respiratory Insufficiency == {{cquote|

Class IIa
1. Preoperative intensive inspiratory muscle training is reasonable to reduce the incidence of pulmonary complications in patients at high risk for respiratory complications after CABG. (Level of Evidence: B)

Class IIb
1. After CABG, noninvasive positive pressure ventilation may be reasonable to improve pulmonary mechanics and to reduce the need for reintubation. (Level of Evidence: B)

2. High thoracic epidural analgesia may be considered to improve lung function after CABG. (Level of Evidence: B)}}

Guidelines Resources

 * 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines