The association between initial calculated driving pressure at the induction of general anesthesia and composite postoperative oxygen support.

Oxygen inhalation therapy Postoperative complication Respiratory function tests Respiratory physiology

Journal

BMC anesthesiology
ISSN: 1471-2253
Titre abrégé: BMC Anesthesiol
Pays: England
ID NLM: 100968535

Informations de publication

Date de publication:
29 12 2022
Historique:
received: 31 07 2022
accepted: 27 12 2022
entrez: 29 12 2022
pubmed: 30 12 2022
medline: 3 1 2023
Statut: epublish

Résumé

Early discontinuation of postoperative oxygen support (POS) would partially depend on the innate pulmonary physics. We aimed to examine if the initial driving pressure (dP) at the induction of general anesthesia (GA) predicted POS prolongation. We conducted a single-center retrospective study using the facility's database. Consecutive subjects over 2 years were studied to determine the change in odds ratio (OR) for POS prolongation of different dP classes at GA induction. The dP (cmH We included 5,607 miscellaneous subjects. Old age, high scores of American Society of Anesthesiologist physical status, initial dP, and long GA duration were associated with prolonged POS. The dP at the induction of GA (7.78 [6.48, 9.45] in median [interquartile range]) was categorized into five classes. With the dP group of 6.5-8.3 cmH High initial dPs ≥ 10 cmH

Identifiants

pubmed: 36581842
doi: 10.1186/s12871-022-01959-0
pii: 10.1186/s12871-022-01959-0
pmc: PMC9798593
doi:

Substances chimiques

Oxygen S88TT14065

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

411

Informations de copyright

© 2022. The Author(s).

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Auteurs

Koji Hosokawa (K)

Department of Anesthesiology & Reanimatology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan. khosok@u-fukui.ac.jp.

Katsuya Tanaka (K)

Department of Anesthesia, Fukui Prefectural Hospital, Fukui, Japan.

Kayo Ishihara (K)

Faculty of Medical Sciences, University of Fukui, Fukui, Japan.

Yukiko Yamazaki (Y)

Department of Anesthesiology & Reanimatology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.

Yuka Matsuki (Y)

Department of Anesthesiology & Reanimatology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.

Kenji Shigemi (K)

Department of Anesthesiology & Reanimatology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.

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Classifications MeSH