Non-invasive positive pressure ventilation for prevention of complications after pulmonary resection in lung cancer patients

Torres, Maria FS; Porfírio, Gustavo José Martiniano; Carvalho, Alan PV; Riera, Rachel

doi:10.1002/14651858.cd010355.pub2

Cited by 18 publications

(4 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Rodriguez-Larrad, Lascurain-Aguirrebena, Abecia-Inchaurregui, and Seco (2014) concluded that in general interventions performed only during the postoperative period did not seem to reduce PPC or LOS. Furthermore, a Cochrane review by Torres, Porfirio, Carvalho, and Riera (2015) investigating the effect of CPAP showed that CPAP was safe but had no effect on reducing the rate of mortality, PPC, or LOS. The authors did however query the results considering the low quality of evidence and small sample sizes with few events.…”

Section: Agreements and Disagreements With Other Studies Or Reviewsmentioning

confidence: 99%

The effects of various respiratory physiotherapies after lung resection: a systematic review

Larsen

Skoffer

Oestergaard

et al. 2019

Physiotherapy Theory and Practice

View full text Add to dashboard Cite

General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ? Take down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.

show abstract

Section: Agreements and Disagreements With Other Studies Or Reviewsmentioning

confidence: 99%

The effects of various respiratory physiotherapies after lung resection: a systematic review

Larsen

Skoffer

Oestergaard

et al. 2019

Physiotherapy Theory and Practice

View full text Add to dashboard Cite

show abstract

“…Non-invasive ventilation, however, has important limitations, such as the need for a face-mask that usually covers the nose and mouth possibly leading to claustrophobia, prevention of normal oral intake, possibly less effective clearance of secretions, and prevention of usual communication with family members and medical staff [12]. Furthermore, in thoracic surgery, the potential for positive pressure ventilation to increase stress on surgical suture lines as well as concerns for exacerbation of bronchopulmonary fistulas have tempered enthusiasm for the prophylactic use of non-invasive ventilation [13]. …”

Section: Introductionmentioning

confidence: 99%

Heated humidified high-flow nasal cannula oxygen after thoracic surgery — A randomized prospective clinical pilot trial

Brainard

Scott

Sullivan

et al. 2017

Journal of Critical Care

View full text Add to dashboard Cite

Background Thoracic surgery patients are at high-risk for adverse pulmonary outcomes. Heated humidified high-flow nasal cannula oxygen (HHFNC O2) may decrease such events. We hypothesized that patients randomized to prophylactic HHFNC O2 would develop fewer pulmonary complications compared to conventional O2 therapy. Methods and Patients Fifty-one patients were randomized to HHFNC O2 vs. conventional O2. The primary outcome was a composite of postoperative pulmonary complications. Secondary outcomes included oxygenation and length of stay. Continuous variables were compared with t-test or Mann-Whitney-U test, categorical variables with Fisher’s Exact test. Results There were no differences in postoperative pulmonary complications based on intention to treat [two in HHFNC O2 (n=25), two in control (n=26), p=0.680], and after exclusion of patients who discontinued HHFNC O2 early [one in HHFNC O2 (n=18), two in control (n=26), p=0.638]. Discomfort from HHFNC O2 occurred in 11/25 (44%); 7/25 (28%) discontinued treatment. Conclusions Pulmonary complications were rare after thoracic surgery. Although HHFNC O2 did not convey significant benefits, these results need to be interpreted with caution, as our study was likely underpowered to detect a reduction in pulmonary complications. High rates of patient-reported discomfort with HHFNC O2 need to be considered in clinical practice and future trials.

show abstract

“…The addition of this simple maneuver to intraoperative recruitment protocols, despite being difficult in this noncompliant age group, is effective and needs to be confirmed. It is, however, in accordance with the studies of early prophylactic CPAP on postoperative oxygenation after different operative settings such as after bariatric surgery, major abdominal surgery, pulmonary resection, and pediatric open heart surgery . Data on the level, timing, duration, and repetition of early postoperative CPAP administration are lacking in both adult and pediatric populations.…”

Section: Discussionmentioning

confidence: 81%

“…Current evidence does not support the assumption that the benefits of RMs extend to the postoperative period and studies on the postoperative outcomes of RMs are lacking. Several studies have confirmed that the application of early continuous positive airway pressure (CPAP) improves postoperative oxygenation after different operative procedures such as bariatric surgery, major abdominal surgery, pulmonary resection, and pediatric open heart surgery …”

Section: Introductionmentioning

confidence: 99%

Post‐extubation continuous positive airway pressure improves oxygenation after pediatric laparoscopic surgery: A randomized controlled trial

Abdel‐Ghaffar

Youseff

Abdelal

et al. 2019

Acta Anaesthesiol Scand

View full text Add to dashboard Cite

Background: Effects of intraoperative recruitment maneuvers (RMs) on oxygenation and pulmonary compliance are lost during recovery if high inspired oxygen and airway suctioning are used. We investigated the effect of post-extubation noninvasive CPAP mask application on the alveolar arterial oxygen difference [(A-a) DO 2 ] after pediatric laparoscopic surgery. Methods: Sixty patients (1-6 years) were randomly allocated to three groups of 20 patients, to receive zero end-expiratory pressure (ZEEP group), RM with decremental PEEP titration only (RM group), or followed with post-extubation CPAP for 5 minutes (RM-CPAP group). Primary outcome was [(A-a) DO 2 ] at 1 hour postoperatively. Secondary outcomes were respiratory mechanics, arterial blood gas analysis, hemodynamics, and adverse events. Results: At 1 hour postoperatively, mean [(A-a) DO 2 ] (mm Hg) was lower in the RM-CPAP group (41.5 ± 13.2, [95% CI 37.6-45.8]) compared to (80.2 ± 13.7 [72.6-87.5], P < 0.0001] and (59.2 ± 14.6, [54.8-62.6], P < 0.001) in the ZEEP and RM groups. The mean PaO 2 (mm Hg) at 1 hour postoperatively was higher in the RM-CPAP group (156.2 ± 18.3 [95% CI 147.6-164.7]) compared with the ZEEP (95.9 ± 15.9 [88.5-103.3], P < 0.0001) and RM groups (129.1 ± 15.9 [121.6-136.5], P < 0.0001). At 12 hours postoperatively, mean [(A-a) DO 2 ] and PaO 2 were (9.6 ± 2.1 [8.4-10.8]) and (91.9 ± 9.4[87.5-96.3]) in the RM-CPAP group compared to (25.8 ± 5.5 [23.6-27.6]) and (69.9 ± 5.5 [67.4-72.5], P < 0.0001) in the ZEEP group and (34.3 ± 13.2, [28.4-40.2], P < 0.0001) and (74.03 ± 9.8 [69.5-78.6], P < 0.0001) in the RM group. No significant differences of perioperative adverse effects were found between groups. Conclusions:An RM done after pneumoperitoneum inflation followed by decremental PEEP titration improved oxygenation at 1 hour postoperatively. The addition of an early post-extubation noninvasive CPAP mask ventilation improved oxygenation at 12 hours postoperatively.

show abstract

Non-invasive positive pressure ventilation for prevention of complications after pulmonary resection in lung cancer patients

Cited by 18 publications

References 24 publications

The effects of various respiratory physiotherapies after lung resection: a systematic review

The effects of various respiratory physiotherapies after lung resection: a systematic review

Heated humidified high-flow nasal cannula oxygen after thoracic surgery — A randomized prospective clinical pilot trial

Post‐extubation continuous positive airway pressure improves oxygenation after pediatric laparoscopic surgery: A randomized controlled trial

Contact Info

Product

Resources

About