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.pub3

Cited by 11 publications

(12 citation statements)

References 31 publications

(33 reference statements)

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“…Considering that the intervention protocol was rather demanding for the patients, we positively judged that the CPAP was applied for 11.5 hours in mean, reaching the 64% of the planned time. Actually, despite advances in both machine and masks, the adherence rate to CPAP generally ranges from 30% to 60% (12). We believe that adequate preoperative education is fundamental to optimize the adherence.…”

Section: Discussionmentioning

confidence: 99%

“…The Authors concluded that the prophylactic use of CPAP improved oxygenation. The mentioned trials were included in a meta-analysis published in 2015; the Authors cannot demonstrate any positive effect of NIV or CPAP on pulmonary complications rate after lung resection, but small sample size and low frequency of events seriously affected the quality of the evidences; therefore, trials with appropriate characteristics were advocated (12).…”

Section: Discussionmentioning

confidence: 99%

“…The capability of the positive airway pressure to antagonize the postoperative restrictive pattern and to improve pulmonary function have been documented; in addition, it has also been demonstrated how NIV is effective in reducing the need for intubation and consequently the mortality rate in the postoperative period in patients with acute respiratory failure (8)(9)(10)(11). If this functional improvement has any significant clinical benefit on the postoperative course after pulmonary lobectomy remains to be understood (12). In this uncertainty, we conducted a prospective randomized controlled clinical trial to test the hypothesis whether prophylactic application of CPAP following pulmonary lobectomy can reduce postoperative complications.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prophylactic continuous positive airway pressure after pulmonary lobectomy: a randomized controlled trial

Palleschi¹,

Privitera²,

Lazzeri³

et al. 2018

J. Thorac. Dis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prophylactic continuous positive airway pressure after pulmonary lobectomy: a randomized controlled trial

Palleschi¹,

Privitera²,

Lazzeri³

et al. 2018

J. Thorac. Dis.

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“…Postoperative pulmonary complications are the principal cause of mortality and morbidity after lung resection (Torres et al 2019 ). Acute respiratory failure has been reported to occur in 2–30% of patients after lung resection (Lorut et al 2014 ), and overall pulmonary complication rates have been reported to be as high as 49% (Nery et al 2012 ).…”

Section: Postoperative Carementioning

confidence: 99%

Recommendations from the Italian intersociety consensus on Perioperative Anesthesa Care in Thoracic surgery (PACTS) part 2: intraoperative and postoperative care

et al. 2020

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Introduction Anesthetic care in patients undergoing thoracic surgery presents specific challenges that require a multidisciplinary approach to management. There remains a need for standardized, evidence-based, continuously updated guidelines for perioperative care in these patients. Methods A multidisciplinary expert group, the Perioperative Anesthesia in Thoracic Surgery (PACTS) group, was established to develop recommendations for anesthesia practice in patients undergoing elective lung resection for lung cancer. The project addressed three key areas: preoperative patient assessment and preparation, intraoperative management (surgical and anesthesiologic care), and postoperative care and discharge. A series of clinical questions was developed, and literature searches were performed to inform discussions around these areas, leading to the development of 69 recommendations. The quality of evidence and strength of recommendations were graded using the United States Preventive Services Task Force criteria. Results Recommendations for intraoperative care focus on airway management, and monitoring of vital signs, hemodynamics, blood gases, neuromuscular blockade, and depth of anesthesia. Recommendations for postoperative care focus on the provision of multimodal analgesia, intensive care unit (ICU) care, and specific measures such as chest drainage, mobilization, noninvasive ventilation, and atrial fibrillation prophylaxis. Conclusions These recommendations should help clinicians to improve intraoperative and postoperative management, and thereby achieve better postoperative outcomes in thoracic surgery patients. Further refinement of the recommendations can be anticipated as the literature continues to evolve.

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“…Regarding the use of positive pressure, despite many studies having been testing the benefits of its application in surgical patients [28][29][30][31], the results are still controversial [32]. We believe that, besides the weak evidence of the positive pressure use in patients with pleural effusion [19], the little familiarity with the use of this technique and the risk of Broncho pleural fistula might have restricted the choice for this lung expansion technique [33,34].…”

Section: Lung Expansion Techniques Applied By Chest Physiotherapistsmentioning

confidence: 99%

Use of lung expansion techniques on drained and non-drained pleural effusion: survey with 232 physiotherapists

et al. 2020

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Introduction: Techniques for lung expansion seem to benefit patients with drained and undrained pleural effusion, but there is a lack of evidence to indicate which technique is best in each situation. Currently, the therapeutic choices of respiratory physiotherapists serving this population are not known. Objective: To know which lung expansion techniques are chosen by chest physiotherapists who assist patients with drained and non-drained pleural effusion. Method: Through the announcement of the Federal Council, 232 physiotherapists who work in hospitals in Brazil were questioned about which techniques they apply to patients with drained and non-drained effusion. Results: Initially, 512 were questioned but 232 (45.3%) answered. The physiotherapists associate more than one technique of lung expansion in both types of patients, besides walking. Deep breathing is the most used technique in patients with drained (92%) and non-drained (77%) pleural effusion. Positive pressure exercises in the airways are chosen by 60% of the physiotherapists to treat patients with drained pleural effusion and by 34% to treat patients with non-drained pleural effusion. Yet the incentive spirometry are used with 66% of patients with drained pleural effusion and 42% with non-drained ones. Conclusion: Deep breathing is the most applied lung expansion technique in the treatment of patients with drained and non-drained pleural effusion by chest physiotherapists. In addition, there is association between greatest degree and time of professional performance and the chosen techniques.

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

Abstract: Non-invasive positive pressure ventilation for prevention of complications a er pulmonary resection in lung cancer patients.

Cited by 11 publications

References 31 publications

Prophylactic continuous positive airway pressure after pulmonary lobectomy: a randomized controlled trial

Prophylactic continuous positive airway pressure after pulmonary lobectomy: a randomized controlled trial

Recommendations from the Italian intersociety consensus on Perioperative Anesthesa Care in Thoracic surgery (PACTS) part 2: intraoperative and postoperative care

Use of lung expansion techniques on drained and non-drained pleural effusion: survey with 232 physiotherapists

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