Prevalence and Mortality of Acute Lung Injury and ARDS After Lung Resection

Abstract

Our results confirm that ALI/ARDS after lung resection is associated with a high mortality in patients who require invasive MV and ICU care.

Transpulmonary Thermodilution: Its Role in Assessment of Lung Water and Pulmonary Edema

“…Lung resection surgery carries a high risk for postoperative complications of increased capillary permeability and ARDS with an incidence varying between 0.9% for sublobar resection up to 8% for pneumonectomy 65 The use of EVLW was also extended to monitor the effect of different ventilation strategies and recruitment maneuvers during the one-lung ventilation on the lung water accumulation. In patients undergoing video-assisted thoracic surgery ventilation during OLV with a tidal volume of 4 ml kg -1 was associated with lower EVLW accumulation than ventilation with 6 ml kg -1 or 8 ml kg -1 of ideal body weight 70 .…”

Step-by-step clinical management of one-lung ventilation: Continuing Professional Development

“…12 Nevertheless, ALI is a major cause of overall mortality after thoracic surgery due to its high mortality rate (25-40%). 13 A biphasic distribution has been described for ALI which corresponds to different pathogenic triggers: a primary form triggered by perioperative factors occurs within three days, and a second delayed form triggered by postoperative complications is generally observed between postoperative days 3 and 10.…”

“…12 Les LPA sont toutefois une cause majeure de mortalité globale après une chirurgie thoracique en raison de leur taux de mortalité élevé (25-40%). 13 Une distribution biphasique des LPA a été décrite, qui correspond à différents déclencheurs pathogènes : une forme primaire déclenchée par des facteurs périopératoires survient au cours des trois premiers jours, et une deuxième forme retardée, précipitée par les complications postopératoires, peut généralement être observée entre le 3 ème et le 10 ème jour postopératoire.…”

Perioperative tidal volume and intra-operative open lung strategy in healthy lungs: where are we going?

“…However, it is associated with a high morbidity and mortality rate of around 40% 41 . Causative factors of lung injury beside inflammatory processes induced by the surgical procedure are ventilatory trauma, transfusion, hypoxia-reoxgenation upon one-lung ventilation (OLV), etc.…”