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  • Ferrando, CarlosHosp Clin Barcelona, Inst Invest August Pi & Sunyer, Dept Anesthesiol & Crit Care, Barcelona, Spain.;Inst Salud Carlos III, CIBER Enfermedades Resp, Madrid, Spain (författare)

Intraoperative open lung condition and postoperative pulmonary complications. A secondary analysis of iPROVE and iPROVE-O2 trials

  • Artikel/kapitelEngelska2022

Förlag, utgivningsår, omfång ...

  • 2021-09-22
  • John Wiley & Sons,2022
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-470054
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-470054URI
  • https://doi.org/10.1111/aas.13979DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Background The preventive role of an intraoperative recruitment maneuver plus open lung approach (RM + OLA) ventilation on postoperative pulmonary complications (PPC) remains unclear. We aimed at investigating whether an intraoperative open lung condition reduces the risk of developing a composite of PPCs.Methods Post hoc analysis of two randomized controlled trials including patients undergoing abdominal surgery. Patients were classified according to the intraoperative lung condition as "open" (OL) or "non-open" (NOL) if PaO2/FIO2 ratio was >= or <400 mmHg, respectively. We used a multivariable logistic regression model that included potential confounders selected with directed acyclic graphs (DAG) using Dagitty software built with variables that were considered clinically relevant based on biological mechanism or evidence from previously published data. PPCs included severe acute respiratory failure, acute respiratory distress syndrome, and pneumonia.Results A total of 1480 patients were included in the final analysis, with 718 (49%) classified as OL. The rate of severe PPCs during the first seven postoperative days was 6.0% (7.9% in the NOL and 4.4% in the OL group, p = .007). OL was independently associated with a lower risk for severe PPCs during the first 7 and 30 postoperative days [odds ratio of 0.58 (95% CI 0.34-0.99, p = .04) and 0.56 (95% CI 0.34-0.94, p = .03), respectively].Conclusions An intraoperative open lung condition was associated with a reduced risk of developing severe PPCs in intermediate-to-high risk patients undergoing abdominal surgery. Trial registration: Registered at clinicaltrials.gov NCT02158923 (iPROVE), NCT02776046 (iPROVE-O2).

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Librero, JulianComplejo Hosp Navarra, REDISSEC Red Invest Serv Salud, Navarrabiomed, UPNA, La Palma De Cervello, Spain (författare)
  • Tusman, GerardoHosp Privado Comunidad Mar Del Plata, Dept Anesthesiol, Mar de Plata, Argentina (författare)
  • Serpa-Neto, AryMonash Univ, Australian & New Zealand Intens Care Res Ctr ANZI, Melbourne, Vic, Australia.;Hosp Israelita Albert Einstein, Dept Crit Care Med, Sao Paulo, Brazil.;Univ Melbourne, Austin Hosp, Melbourne Med Sch, Dept Crit Care, Melbourne, Vic, Australia (författare)
  • Villar, JesusInst Salud Carlos III, CIBER Enfermedades Resp, Madrid, Spain.;Hosp Univ Dr Negrin, Res Unit, Multidisciplinary Organ Dysfunct Evaluat Res Netw, Las Palmas Gran Canaria, Spain.;St Michaels Hosp, Li Ka Shing Knowledge Inst, Keenan Res Ctr Biomed Sci, Toronto, ON, Canada (författare)
  • Belda, Francisco J.Hosp Israelita Albert Einstein, Dept Crit Care Med, Sao Paulo, Brazil (författare)
  • Costa, EduardoUniv Sao Paulo, Heart Inst Incor, Cardiopulm Dept, Pulm Div, Sao Paulo, Brazil.;Hosp Sirio Libanes, Res & Educ Inst, Sao Paulo, Brazil (författare)
  • Amato, Marcelo B. P.Univ Sao Paulo, Heart Inst Incor, Cardiopulm Dept, Pulm Div, Sao Paulo, Brazil (författare)
  • Suarez-Sipmann, FernandoUppsala universitet,Klinisk fysiologi,Hedenstiernalaboratoriet,Inst Salud Carlos III, CIBER Enfermedades Resp, Madrid, Spain.;Uppsala Univ Hosp, Dept Surg Sci, Hedenstierna Lab, Uppsala, Sweden.;Hosp Univ Princesa, Dept Intens Care, Madrid, Spain(Swepub:uu)fersi946 (författare)
  • Hosp Clin Barcelona, Inst Invest August Pi & Sunyer, Dept Anesthesiol & Crit Care, Barcelona, Spain.;Inst Salud Carlos III, CIBER Enfermedades Resp, Madrid, SpainComplejo Hosp Navarra, REDISSEC Red Invest Serv Salud, Navarrabiomed, UPNA, La Palma De Cervello, Spain (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Acta Anaesthesiologica Scandinavica: John Wiley & Sons66:1, s. 30-390001-51721399-6576

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