Scopus
🔓 Açık Erişim
Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: Post-hoc analysis of LAS VEGAS study
BMC Anesthesiology · Nisan 2020
Makale Bilgileri
DergiBMC Anesthesiology
Yayın TarihiNisan 2020
Cilt / Sayfa20
Scopus ID2-s2.0-85082895096
Erişim🔓 Açık Erişim
Özet
Background: Limited information is available regarding intraoperative ventilator settings and the incidence of postoperative pulmonary complications (PPCs) in patients undergoing neurosurgical procedures. The aim of this post-hoc analysis of the 'Multicentre Local ASsessment of VEntilatory management during General Anaesthesia for Surgery' (LAS VEGAS) study was to examine the ventilator settings of patients undergoing neurosurgical procedures, and to explore the association between perioperative variables and the development of PPCs in neurosurgical patients. Methods: Post-hoc analysis of LAS VEGAS study, restricted to patients undergoing neurosurgery. Patients were stratified into groups based on the type of surgery (brain and spine), the occurrence of PPCs and the assess respiratory risk in surgical patients in Catalonia (ARISCAT) score risk for PPCs. Results: Seven hundred eighty-four patients were included in the analysis; 408 patients (52%) underwent spine surgery and 376 patients (48%) brain surgery. Median tidal volume (VT) was 8 ml [Interquartile Range, IQR = 7.3-9] per predicted body weight; median positive end-expiratory pressure (PEEP) was 5 [3 to 5] cmH20. Planned recruitment manoeuvres were used in the 6.9% of patients. No differences in ventilator settings were found among the sub-groups. PPCs occurred in 81 patients (10.3%). Duration of anaesthesia (odds ratio, 1.295 [95% confidence interval 1.067 to 1.572]; p = 0.009) and higher age for the brain group (odds ratio, 0.000 [0.000 to 0.189]; p = 0.031), but not intraoperative ventilator settings were independently associated with development of PPCs. Conclusions: Neurosurgical patients are ventilated with low VT and low PEEP, while recruitment manoeuvres are seldom applied. Intraoperative ventilator settings are not associated with PPCs.
Yazarlar (98)
1
Chiara Robba
2
Sabrine N. Hemmes
3
Ary Serpa Neto
4
Thomas Bluth
5
Jaume Canet
6
Michael Hiesmayr
7
Markus W. Hollmann
8
Gary H. Mills
9
Marcos F. Vidal Melo
10
Christian Putensen
11
Samir Jaber
12
Werner Schmid
13
Paolo Severgnini
14
Hermann Wrigge
15
Denise Battaglini
16
Lorenzo Ball
17
Marcelo Gama de Abreu
18
Marcus J. Schultz
19
Paolo Pelosi
20
Wolfgang Kroell
21
Helfried Metzler
22
Gerd Struber
23
Thomas Wegscheider
24
Hans Gombotz
25
Bernhard Urbanek
26
David Kahn
27
Mona Momeni
28
Audrey Pospiech
29
Fernande Lois
30
Patrice Forget
31
Irina Grosu
32
Jan Poelaert
33
Veerle van Mossevelde
34
Marie Claire van Malderen
35
Dimitri Dylst
36
Jeroen van Melkebeek
37
Maud Beran
38
Stefan De Hert
39
Luc De Baerdemaeker
40
Bjorn Heyse
41
Jurgen Van Limmen
42
Piet Wyffels
43
Tom Jacobs
44
Nathalie Roels
45
Ann De Bruyne
46
Stijn van de Velde
47
Brigitte Leva
48
Sandrine Damster
49
Benoit Plichon
50
Marina Juros-Zovko
51
Dejana Djonoviċ-Omanoviċ
52
Selma Pernar
53
Josip Zunic
54
Petar Miskovic
55
Antonio Zilic
56
Slavica Kvolik
57
Dubravka Ivic
58
Darija Azenic-Venzera
59
Sonja Skiljic
60
Hrvoje Vinkovic
61
Ivana Oputric
62
Kazimir Juricic
63
Vedran Frkovic
64
Jasminka Kopic
65
Ivan Mirkovic
66
Nenad Karanovic
67
Mladen Carev
68
Natasa Dropulic
69
Jadranka Pavicic Saric
70
Gorjana Erceg
71
Matea Bogdanovic Dvorscak
72
Branka Mazul-Sunko
73
Anna Marija Pavicic
74
Tanja Goranovic
75
Branka Maldini
76
Tomislav Radocaj
77
Zeljka Gavranovic
78
Inga Mladic-Batinica
79
Mirna Sehovic
80
Petr Stourac
81
Hana Harazim
82
Olga Smekalova
83
Martina Kosinova
84
Tomas Kolacek
85
Kamil Hudacek
86
Michal Drab
87
Jan Brujevic
88
Katerina Vitkova
89
Katerina Jirmanova
90
Ivana Volfova
91
Paula Dzurnakova
92
Katarina Liskova
93
Radovan Dudas
94
Radek Filipsky
95
Samir el Kafrawy
96
Hisham Hosny Abdelwahab
97
Tarek Metwally
98
Ahmed Abdel-Razek
Anahtar Kelimeler
LAS VEGAS
Mechanical ventilation
Neurosurgery
Postoperative pulmonary complications
Kurumlar
Amsterdam UMC - University of Amsterdam
Amsterdam Netherlands
Hôpital Saint Eloi
Montpellier France
Hospital Israelita Albert Einstein
Sao Paulo Brazil
Hospital Universitari de Bellvitge
Barcelona Spain
IRCCS San Martino Polyclinic Hospital
Genoa Italy
Mahidol University
Nakhon Pathom Thailand
Massachusetts General Hospital
Boston United States
Medizinische Universität Wien
Vienna Austria
The University of Sheffield
Sheffield United Kingdom
Università degli Studi dell'Insubria
Varese Italy
Università degli Studi di Genova
Genoa Italy
Universität Leipzig
Leipzig Germany
Universitätsklinikum Bonn
Bonn Germany
Universitätsklinikum Carl Gustav Carus Dresden
Dresden Germany
Metrikler
7
Atıf
98
Yazar
4
Anahtar Kelime