Postoperative Pulmonary Complications After Cardiac Surgery: The VENICE International Cohort Study
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F22%3A10445831" target="_blank" >RIV/00064165:_____/22:10445831 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11110/22:10445831
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=9i2uCOx3Vm" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=9i2uCOx3Vm</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1053/j.jvca.2021.12.024" target="_blank" >10.1053/j.jvca.2021.12.024</a>
Alternative languages
Result language
angličtina
Original language name
Postoperative Pulmonary Complications After Cardiac Surgery: The VENICE International Cohort Study
Original language description
Objective: Postoperative pulmonary complications (PPC) remain a main issue after cardiac surgery. The objective was to report the incidence and identify risk factors of PPC after cardiac surgery. Design: An international multicenter prospective study (42 international centers in 9 countries). Participants: A total of 707 adult patients who underwent cardiac surgery under cardiopulmonary bypass. Interventions: None Measurements and Main Results: During a study period of 2 weeks, the investigators included all patients in their respective centers and screened for PPCs. PPC was defined as the occurrence of at least 1 pulmonary complication among the following: atelectasis, pleural effusion, respiratory failure, respiratory infection, pneumothorax, bronchospasm, or aspiration pneumonitis. Among 676 analyzed patients, 373 patients presented with a PPC (55%). The presence of PPC was significantly associated with a longer intensive care length of stay and hospital length of stay. One hundred ninety (64%) patients were not intraoperatively ventilated during cardiopulmonary bypass. Ventilation settings were similar regarding tidal volume, respiratory rate, inspired oxygen. In the regression model, age, the Euroscore II, chronic obstructive pulmonary disease, preoxygenation modality, intraoperative positive end-expiratory pressure, the absence of pre- cardiopulmonary bypass ventilation, the absence of lung recruitment, and the neuromuscular blockade were associated with PPC occurrence. Conclusion: Both individual risk factors and ventilatory settings were shown to explain the high level of PPCs. These findings require further investigations to assess a bundle strategy for optimal ventilation strategy to decrease PPC incidence.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30223 - Anaesthesiology
Result continuities
Project
—
Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2022
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Journal of Cardiothoracic and Vascular Anesthesia
ISSN
1053-0770
e-ISSN
1532-8422
Volume of the periodical
36
Issue of the periodical within the volume
8, Part A
Country of publishing house
US - UNITED STATES
Number of pages
8
Pages from-to
2344-2351
UT code for WoS article
000833405700016
EID of the result in the Scopus database
2-s2.0-85123718075