Intraoperative ventilator settings and their association with
postoperative pulmonary complications in neurosurgical
patients: post-hoc analysis of LAS VEGAS study

J 2020

Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: post-hoc analysis of LAS VEGAS study

ROBBA, C, SNT HEMMES, AS NETO, T BLUTH, J CANET et. al.

Základní údaje

Originální název

Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: post-hoc analysis of LAS VEGAS study

Autoři

Vydání

BMC Anesthesiology, London, BMC, 2020, 1471-2253

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.217

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1186/s12871-020-00988-x

UT WoS

000523482700002

Klíčová slova anglicky

LAS VEGAS; Mechanical ventilation; Postoperative pulmonary complications; Neurosurgery

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 31. 3. 2022 08:08, Mgr. Tereza Miškechová

Anotace

V originále

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-T) was 8 ml [Interquartile Range, IQR = 7.3-9] per predicted body weight; median positive end-expiratory pressure (PEEP) was 5 [3 to 5] cmH(2)0. 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 V-T and low PEEP, while recruitment manoeuvres are seldom applied. Intraoperative ventilator settings are not associated with PPCs.

Citovat

ROBBA, C, SNT HEMMES, AS NETO, T BLUTH, J CANET, M HIESMAYR, MW HOLLMANN, GH MILLS, MFV MELO, C PUTENSEN, S JABER, W SCHMID, P SEVERGNINI, H WRIGGE, D BATTAGLINI, L BALL, Abreu MG DE, MJ SCHULTZ, P PELOSI, Petr ŠTOURAČ, Hana HARAZIM, Olga SMÉKALOVÁ, Martina KOSINOVÁ, tomas KOLACEK a Kamil HUDÁČEK. Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: post-hoc analysis of LAS VEGAS study. BMC Anesthesiology. London: BMC, 2020, roč. 20, č. 1, 14 s. ISSN 1471-2253. Dostupné z: https://dx.doi.org/10.1186/s12871-020-00988-x.

@article{1833325,
   author = {Robba, C and Hemmes, SNT and Neto, AS and Bluth, T and Canet, J and Hiesmayr, M and Hollmann, MW and Mills, GH and Melo, MFV and Putensen, C and Jaber, S and Schmid, W and Severgnini, P and Wrigge, H and Battaglini, D and Ball, L and de, Abreu MG and Schultz, MJ and Pelosi, P and Štourač, Petr and Harazim, Hana and Smékalová, Olga and Kosinová, Martina and kolacek, tomas and Hudáček, Kamil},
   article_location = {London},
   article_number = {1},
   doi = {http://dx.doi.org/10.1186/s12871-020-00988-x},
   keywords = {LAS VEGAS; Mechanical ventilation; Postoperative pulmonary complications; Neurosurgery},
   language = {eng},
   issn = {1471-2253},
   journal = {BMC Anesthesiology},
   title = {Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: post-hoc analysis of LAS VEGAS study},
   volume = {20},
   year = {2020}
}

TY  - JOUR
ID  - 1833325
AU  - Robba, C - Hemmes, SNT - Neto, AS - Bluth, T - Canet, J - Hiesmayr, M - Hollmann, MW - Mills, GH - Melo, MFV - Putensen, C - Jaber, S - Schmid, W - Severgnini, P - Wrigge, H - Battaglini, D - Ball, L - de, Abreu MG - Schultz, MJ - Pelosi, P - Štourač, Petr - Harazim, Hana - Smékalová, Olga - Kosinová, Martina - kolacek, tomas - Hudáček, Kamil
PY  - 2020
TI  - Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: post-hoc analysis of LAS VEGAS study
JF  - BMC Anesthesiology
VL  - 20
IS  - 1
PB  - BMC
SN  - 14712253
KW  - LAS VEGAS
KW  - Mechanical ventilation
KW  - Postoperative pulmonary complications
KW  - Neurosurgery
N2  - 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-T) was 8 ml [Interquartile Range, IQR = 7.3-9] per predicted body weight; median positive end-expiratory pressure (PEEP) was 5 [3 to 5] cmH(2)0. 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 V-T and low PEEP, while recruitment manoeuvres are seldom applied. Intraoperative ventilator settings are not associated with PPCs.
ER  -

ROBBA, C, SNT HEMMES, AS NETO, T BLUTH, J CANET, M HIESMAYR, MW HOLLMANN, GH MILLS, MFV MELO, C PUTENSEN, S JABER, W SCHMID, P SEVERGNINI, H WRIGGE, D BATTAGLINI, L BALL, Abreu MG DE, MJ SCHULTZ, P PELOSI, Petr ŠTOURAČ, Hana HARAZIM, Olga SMÉKALOVÁ, Martina KOSINOVÁ, tomas KOLACEK a Kamil HUDÁČEK. Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: post-hoc analysis of LAS VEGAS study. \textit{BMC Anesthesiology}. London: BMC, 2020, roč.~20, č.~1, 14 s. ISSN~1471-2253. Dostupné z: https://dx.doi.org/10.1186/s12871-020-00988-x.

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