Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: post-hoc analysis of LAS VEGAS study.
Adult
Aged
Anesthesia, General
/ methods
Female
Humans
Intraoperative Care
/ instrumentation
Lung Diseases
/ epidemiology
Male
Middle Aged
Neurosurgical Procedures
/ methods
Positive-Pressure Respiration
Postoperative Complications
/ epidemiology
Prospective Studies
Respiration, Artificial
/ instrumentation
Tidal Volume
Ventilators, Mechanical
LAS VEGAS
Mechanical ventilation
Neurosurgery
Postoperative pulmonary complications
Journal
BMC anesthesiology
ISSN: 1471-2253
Titre abrégé: BMC Anesthesiol
Pays: England
ID NLM: 100968535
Informations de publication
Date de publication:
02 04 2020
02 04 2020
Historique:
received:
07
02
2020
accepted:
20
03
2020
entrez:
4
4
2020
pubmed:
4
4
2020
medline:
25
6
2021
Statut:
epublish
Résumé
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. 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. 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 (V Neurosurgical patients are ventilated with low V
Sections du résumé
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 (V
CONCLUSIONS
Neurosurgical patients are ventilated with low V
Identifiants
pubmed: 32241266
doi: 10.1186/s12871-020-00988-x
pii: 10.1186/s12871-020-00988-x
pmc: PMC7114790
doi:
Types de publication
Journal Article
Multicenter Study
Observational Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
73Subventions
Organisme : NHLBI NIH HHS
ID : UG3 HL140177
Pays : United States
Organisme : NHLBI NIH HHS
ID : UH3 HL140177
Pays : United States
Investigateurs
Wolfgang Kroell
(W)
Helfried Metzler
(H)
Gerd Struber
(G)
Thomas Wegscheider
(T)
Hans Gombotz
(H)
Michael Hiesmayr
(M)
Werner Schmid
(W)
Bernhard Urbanek
(B)
David Kahn
(D)
Mona Momeni
(M)
Audrey Pospiech
(A)
Fernande Lois
(F)
Patrice Forget
(P)
Irina Grosu
(I)
Jan Poelaert
(J)
Veerle van Mossevelde
(V)
Marie-Claire van Malderen
(MC)
Dimitri Dylst
(D)
Jeroen van Melkebeek
(J)
Maud Beran
(M)
Stefan de Hert
(S)
Luc De Baerdemaeker
(L)
Bjorn Heyse
(B)
Jurgen Van Limmen
(J)
Piet Wyffels
(P)
Tom Jacobs
(T)
Nathalie Roels
(N)
Ann De Bruyne
(A)
Stijn van de Velde
(S)
Brigitte Leva
(B)
Sandrine Damster
(S)
Benoit Plichon
(B)
Marina Juros-Zovko
(M)
Dejana Djonoviċ-Omanoviċ
(D)
Selma Pernar
(S)
Josip Zunic
(J)
Petar Miskovic
(P)
Antonio Zilic
(A)
Slavica Kvolik
(S)
Dubravka Ivic
(D)
Darija Azenic-Venzera
(D)
Sonja Skiljic
(S)
Hrvoje Vinkovic
(H)
Ivana Oputric
(I)
Kazimir Juricic
(K)
Vedran Frkovic
(V)
Jasminka Kopic
(J)
Ivan Mirkovic
(I)
Nenad Karanovic
(N)
Mladen Carev
(M)
Natasa Dropulic
(N)
Jadranka Pavicic Saric
(JP)
Gorjana Erceg
(G)
Matea Bogdanovic Dvorscak
(MB)
Branka Mazul-Sunko
(B)
Anna Marija Pavicic
(AM)
Tanja Goranovic
(T)
Branka Maldini
(B)
Tomislav Radocaj
(T)
Zeljka Gavranovic
(Z)
Inga Mladic-Batinica
(I)
Mirna Sehovic
(M)
Petr Stourac
(P)
Hana Harazim
(H)
Olga Smekalova
(O)
Martina Kosinova
(M)
Tomas Kolacek
(T)
Kamil Hudacek
(K)
Michal Drab
(M)
Jan Brujevic
(J)
Katerina Vitkova
(K)
Katerina Jirmanova
(K)
Ivana Volfova
(I)
Paula Dzurnakova
(P)
Katarina Liskova
(K)
Radovan Dudas
(R)
Radek Filipsky
(R)
Samir El Kafrawy
(S)
Hisham Hosny Abdelwahab
(HH)
Tarek Metwally
(T)
Ahmed Abdel-Razek
(A)
Ahmed Mostafa El-Shaarawy
(AM)
Wael Fathy Hasan
(WF)
Ahmed Gouda Ahmed
(AG)
Hany Yassin
(H)
Mohamed Magdy
(M)
Mahdy Abdelhady
(M)
Mohamed Mahran
(M)
Eiko Herodes
(E)
Peeter Kivik
(P)
Juri Oganjan
(J)
Annika Aun
(A)
Alar Sormus
(A)
Kaili Sarapuu
(K)
Merilin Mall
(M)
Juri Karjagin
(J)
Emmanuel Futier
(E)
Antoine Petit
(A)
Adeline Gerard
(A)
Emmanuel Marret
(E)
Marc Solier
(M)
Samir Jaber
(S)
Albert Prades
(A)
Jens Krassler
(J)
Simone Merzky
(S)
Marcel Gama de Abreu
(MG)
Christopher Uhlig
(C)
Thomas Kiss
(T)
Anette Bundy
(A)
Thomas Bluth
(T)
Andreas Gueldner
(A)
Peter Spieth
(P)
Martin Scharffenberg
(M)
Denny Tran Thiem
(DT)
Thea Koch
(T)
Tanja Treschan
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Mirja Konrad
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(P)
Andreas Reske
(A)
Christian Nestler
(C)
Dimitrios Valsamidis
(D)
Konstantinos Stroumpoulis
(K)
Georgios Antholopoulos
(G)
Antonis Andreou
(A)
Dimitris Karapanos
(D)
Kassiani Theodoraki
(K)
Georgios Gkiokas
(G)
Marios-Konstantinos Tasoulis
(MK)
Tatiana Sidiropoulou
(T)
Foteini Zafeiropoulou
(F)
Panagiota Florou
(P)
Aggeliki Pandazi
(A)
Georgia Tsaousi
(G)
Christos Nouris
(C)
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Dmitri Bystritski
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Reuven Pizov
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Arieh Eden
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Francis Joseph Borg
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(IM)
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(IC)
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(D)
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(M)
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(IP)
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(AB)
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Lucia Stancombe
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(J)
Amir Rafi
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Lisa Wayman
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Jill Deane
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David Rogerson
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Susan Yates
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Maria Nadolski
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Maka Zuleika
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Peter Carvalho
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Deborah Clements
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Philip Watt
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Parizade Raymode
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Rupert Pearse
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Otto Mohr
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Thais Creary
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Ahmed Chishti
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Alistair Cain
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Sarah Gibb
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Emily Calton
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Helen Roberts
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Andrew Donovan
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Jayne Foot
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