Key result
Intraoperative protective mechanical ventilation was associated with a decreased risk of major postoperative respiratory complications (adjusted OR 0.90) in patients undergoing non-cardiac surgery.
Why the study?
Does intraoperative protective mechanical ventilation reduce postoperative respiratory complications in adult patients undergoing non-cardiac surgery?
Does intraoperative protective mechanical ventilation reduce postoperative respiratory complications in adult patients undergoing non-cardiac surgery?
Intraoperative protective mechanical ventilation is associated with a reduced risk of postoperative respiratory complications in non-cardiac surgery.
On June 14, 2015, Ladha and colleagues published an article in the BMJ entitled "Intraoperative protective mechanical ventilation and risk of postoperative respiratory complications: hospital based registry study", which investigated the effects of intraoperative protective ventilation on major postoperative respiratory complications. This study used data of over 69,265 patients in order to investigate patients over the age of 18 who underwent a non-cardiac surgical procedure between January 2007 and August 2014 and required general anesthesia with endotracheal intubation. The investigators found that intraoperative protective ventilation was associated with a decreased risk of postoperative respiratory complications. This study raises important questions about the ventilatory management of surgical patients.
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Filho et al. (2015) conducted an editorial in Non-cardiac surgery requiring general anesthesia (n=69,265). Intraoperative protective mechanical ventilation vs. Non-protective ventilation was evaluated on Major postoperative respiratory complications (adjusted OR 0.90, 95% CI 0.82-0.98, p=0.013). Intraoperative protective mechanical ventilation was associated with a decreased risk of major postoperative respiratory complications (adjusted OR 0.90) in patients undergoing non-cardiac surgery.
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