Preventive or curative postoperative noninvasive ventilation after thoracic surgery: still a grey zone?

Jaber, Samir; Antonelli, Massimo

doi:10.1007/s00134-014-3213-z

Cited by 23 publications

(10 citation statements)

References 11 publications

(12 reference statements)

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“…NPPV, and CPAP in particular, for its ability to recruit collapsed lung regions and to improve oxygenation, has a potential role when used in early stages of respiratory impairment [42], or as a routine measure in high-risk patients. Its role in obese patients has been highlighted in a recent metaanalysis [43].…”

Section: Noninvasive Ventilation In the Postoperative Periodmentioning

confidence: 99%

Postoperative respiratory disorders

Ball

Battaglini

Pelosi

2016

Current Opinion in Critical Care

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Section: Noninvasive Ventilation In the Postoperative Periodmentioning

confidence: 99%

Postoperative respiratory disorders

Ball

Battaglini

Pelosi

2016

Current Opinion in Critical Care

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“…Mortality rates were low in both groups. This paper was accompanied by an editorial [ 23 ], which gave some possible explanations for the lack of beneficial effects. In the postoperative period, it is sometimes difficult to clearly separate “preventive” and “curative” application of NIV.…”

Section: Airway Management Ventilation and Sedationmentioning

confidence: 99%

“…In the postoperative period, it is sometimes difficult to clearly separate “preventive” and “curative” application of NIV. Probably some of the patients received NIV for “grey zone” indications (at the time of starting NIV and also after) which may be considered as an intermediary state between “preventive” and “curative” application of NIV [ 23 ]. Further studies are needed to better identify the patients who may benefit from NIV after thoracic surgery and the optimal NIV protocol (duration, settings, interfaces and humidification systems use for gas conditioning).…”

Section: Airway Management Ventilation and Sedationmentioning

confidence: 99%

Year in review in Intensive Care Medicine 2014: II. ARDS, airway management, ventilation, adjuvants in sepsis, hepatic failure, symptoms assessment and management, palliative care and support for families, prognostication, organ donation, outcome, organisation and research methodology

et al. 2015

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“…Dans cette zone dite « grise », la VNI a très probablement un intérêt [20]. Par exemple, une VNI de courte durée peut être utile en salle de soins post-interventionnelle, en particulier en cas d'hypercapnie postopératoire.…”

Section: Ventilation Non Invasive Préventive En Postopératoireunclassified

La ventilation non invasive en chirurgie pulmonaire

Parquin

Cuquemelle

2015

Réanimation

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DOSSIER La ventilation non invasive en chirurgie pulmonaire Non Invasive Ventilation and Lung Surgery F. Parquin · E. Cuquemelle Reçu le 15 octobre 2014 ; accepté le 22 décembre 2014 © SRLF et Lavoisier SAS 2015Résumé La ventilation non invasive (VNI) est fréquemment utilisée en périopératoire de chirurgie pulmonaire. Son efficacité est démontrée dans le traitement des insuffisances respiratoires aiguës (IRA) postopératoires. Elle permet de diminuer significativement les réintubations et la mortalité. La prévention des complications respiratoires et de l'IRA est un enjeu très important. Les études réalisées n'ont pas réussi à démontrer l'efficacité de la VNI, qu'elle soit débutée en postopératoire immédiat ou en préopératoire. Des études restent nécessaires pour préciser au mieux quels patients pourraient en bénéficier. En transplantation pulmonaire, la VNI occupe aussi une place importante en relais post-extubation et dans la prise en charge des IRA pré-ou postopératoires.Mots clés Ventilation non invasive · Insuffisance respiratoire aiguë · Transplantation pulmonaire · Chirurgie pulmonaire Abstract Non-invasive ventilation (NIV) is frequently used after lung surgery. The clinical benefit was demonstrated in case of postoperative acute respiratory failure: it allows to significantly reduce the intubation and mortality rates. Prevention of respiratory complications and failure is a main target in lung surgery, but the available studies failed to demonstrate the efficacy of NIV in this indication. Further studies are needed to better define the group of patients who may benefit from a strategy based on NIV. In lung transplantation, NIV is an efficient technique for weaning, avoiding reintubation after extubation and in patients with postoperative acute respiratory failure.

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Preventive or curative postoperative noninvasive ventilation after thoracic surgery: still a grey zone?

Cited by 23 publications

References 11 publications

Postoperative respiratory disorders

Postoperative respiratory disorders

Year in review in Intensive Care Medicine 2014: II. ARDS, airway management, ventilation, adjuvants in sepsis, hepatic failure, symptoms assessment and management, palliative care and support for families, prognostication, organ donation, outcome, organisation and research methodology

La ventilation non invasive en chirurgie pulmonaire

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