Lung protective ventilation in patients undergoing major surgery: A systematic review incorporating a Bayesian approach

BMJ Open

Volumn 5, Issue 9, 2015, Pages

  Zhang, Zhongheng ^a   Hu, Xiaoyun ^b   Zhang, Xia ^a   Zhu, Xiuqi ^a   Chen, Liqian ^a   Zhu, Li ^a   Hu, Caibao ^c   Du, Bin ^b  

^a ZHEJIANG NORMAL UNIVERSITY   (China)

^b PEKING UNION MEDICAL COLLEGE HOSPITAL   (China)

^c ZHEJIANG HOSPITAL   (China)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE LUNG INJURY; ADVERSE OUTCOME; ARTICLE; ATELECTASIS; BAYES THEOREM; HEART ARRHYTHMIA; HUMAN; INTENSIVE CARE; LENGTH OF STAY; LUNG VENTILATION; MAJOR SURGERY; META ANALYSIS; OUTCOME ASSESSMENT; PNEUMONIA; PROTECTIVE VENTILATION; SURGICAL PATIENT; SYSTEMATIC REVIEW; ARTIFICIAL VENTILATION; GENERAL ANESTHESIA; LUNG DISEASES; PERIOPERATIVE PERIOD; POSTOPERATIVE COMPLICATIONS; PROCEDURES; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA; TREATMENT OUTCOME;

ANESTHESIA, GENERAL; BAYES THEOREM; CRITICAL CARE; HUMANS; LENGTH OF STAY; LUNG DISEASES; MODELS, STATISTICAL; PERIOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; RESPIRATION, ARTIFICIAL; TREATMENT OUTCOME;

EID: 84947966668     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2014-007473     Document Type: Article

References (51)

1. Esteban A, Frutos-Vivar F, Muriel A, et al. Evolution of mortality over time in patients receiving mechanical ventilation. Am J Respir Crit Care Med 2013;188:220-30.
2. Wunsch H, Linde-Zwirble WT, Angus DC, et al. The epidemiology of mechanical ventilation use in the United States. Crit Care Med 2010;38:1947-53.
3. [No authors listed]. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med 2000;342:1301-8.
4. Villar J, Kacmarek RM, Perez-Mendez L, et al. A high positive end-expiratory pressure, low tidal volume ventilatory strategy improves outcome in persistent acute respiratory distress syndrome: a randomized, controlled trial. Crit Care Med 2006;34:1311-18.
5. Sperber J, Lipcsey M, Larsson A, et al. Lung protective ventilation induces immunotolerance and nitric oxide metabolites in porcine experimental postoperative sepsis. PLoS ONE 2013;8:e83182.
6. Wolthuis EK, Choi G, Dessing MC, et al. Mechanical ventilation with lower tidal volumes and positive end-expiratory pressure prevents pulmonary inflammation in patients without preexisting lung injury. Anesthesiology 2008;108:46-54.
7. Petrucci N, De Feo C. Lung protective ventilation strategy for the acute respiratory distress syndrome. Cochrane Database Syst Rev 2013;(2):CD003844.
8. Ferguson ND. Low tidal volumes for all? JAMA 2012;308:1689-90.
9. Licker M, Diaper J, Villiger Y, et al. Impact of intraoperative lung-protective interventions in patients undergoing lung cancer surgery. Crit Care 2009;13:R41.
10. Yilmaz M, Keegan MT, Iscimen R, et al. Toward the prevention of acute lung injury: protocol-guided limitation of large tidal volume ventilation and inappropriate transfusion. Crit Care Med 2007;35:1660-6; quiz 7.
11. Marini JJ. Lower tidal volumes for everyone: principle or prescription? Intensive Care Med 2013;39:3-5.
12. Protti A, Cressoni M, Santini A, et al. Lung stress and strain during mechanical ventilation: any safe threshold? Am J Respir Crit Care Med 2011;183:1354-62.
13. Zhang Z, Hu X, Zhang X, et al. Lung protective ventilation in patients undergoing major surgery: a systematic review protocol. BMJ Open 2014;4:e004542.
14. Ahn HJ, Kim JA, Yang M, et al. Comparison between conventional and protective one-lung ventilation for ventilator-assisted thoracic surgery. Anaesth Intensive Care 2012;40:780-8.
15. Cai H, Gong H, Zhang L, et al. Effect of low tidal volume ventilation on atelectasis in patients during general anesthesia: a computed tomographic scan. J Clin Anesth 2007;19:125-9.
16. Cai K, Wang X, Ye J, et al. [Laryngeal mask anesthesia in video-assisted thoracoscopic surgery for pulmonary bulla: comparison with intubation anesthesia]. Nan Fang Yi Ke Da Xue Xue Bao 2013;33:756-60.
17. Chaney MA, Nikolov MP, Blakeman BP, et al. Protective ventilation attenuates postoperative pulmonary dysfunction in patients undergoing cardiopulmonary bypass. J Cardiothorac Vasc Anesth 2000;14:514-18.
18. Choi G, Wolthuis EK, Bresser P, et al. Mechanical ventilation with lower tidal volumes and positive end-expiratory pressure prevents alveolar coagulation in patients without lung injury. Anesthesiology 2006;105:689-95.
19. Futier E, Constantin JM, Paugam-Burtz C, et al. A trial of intraoperative low-tidal-volume ventilation in abdominal surgery. N Engl J Med 2013;369:428-37.
20. Kanaya A, Satoh D, Kurosawa S. [Influence of tidal volume on functional residual capacity during general anesthesia]. Masui 2011;60:1149-52.
21. Koner O, Celebi S, Balci H, et al. Effects of protective and conventional mechanical ventilation on pulmonary function and systemic cytokine release after cardiopulmonary bypass. Intensive Care Med 2004;30:620-6.
22. Lin WQ, Lu XY, Cao LH, et al. [Effects of the lung protective ventilatory strategy on proinflammatory cytokine release during one-lung ventilation]. Ai Zheng 2008;27:870-3.
23. Maslow AD, Stafford TS, Davignon KR, et al. A randomized comparison of different ventilator strategies during thoracotomy for pulmonary resection. J Thorac Cardiovasc Surg 2013;146:38-44.
24. Memtsoudis SG, Bombardieri AM, Ma Y, et al. The effect of low versus high tidal volume ventilation on inflammatory markers in healthy individuals undergoing posterior spine fusion in the prone position: a randomized controlled trial. J Clin Anesth 2012;24:263-9.
25. Michelet P, D'Journo XB, Roch A, et al. Protective ventilation influences systemic inflammation after esophagectomy: a randomized controlled study. Anesthesiology 2006;105:911-19.
26. Muralidhar K, Shetty DP. Ventilation strategy for video-assisted thoracoscopic clipping of patent ductus arteriosus in children. Paediatr Anaesth 2001;11:45-8.
27. Ren F, Cai HW, Jiao HN. [Effects of different mechanical ventilation methods on oxygenation and shunt fraction in patients undergoing valve replacement]. Zhong Nan Da Xue Xue Bao Yi Xue Ban 2004;29:583-5.
28. Severgnini P, Selmo G, Lanza C, et al. Protective mechanical ventilation during general anesthesia for open abdominal surgery improves postoperative pulmonary function. Anesthesiology 2013;118:1307-21.
29. Shen Y, Zhong M, Wu W, et al. The impact of tidal volume on pulmonary complications following minimally invasive esophagectomy: a randomized and controlled study. J Thorac Cardiovasc Surg 2013;146:1267-73; discussion 73-4.
30. Sundar S, Novack V, Jervis K, et al. Influence of low tidal volume ventilation on time to extubation in cardiac surgical patients. Anesthesiology 2011;114:1102-10.
31. Treschan TA, Kaisers W, Schaefer MS, et al. Ventilation with low tidal volumes during upper abdominal surgery does not improve postoperative lung function. Br J Anaesth 2012;109:263-71.
32. Wrigge H, Uhlig U, Baumgarten G, et al. Mechanical ventilation strategies and inflammatory responses to cardiac surgery: a prospective randomized clinical trial. Intensive Care Med 2005;31:1379-87.
33. Wrigge H, Uhlig U, Zinserling J, et al. The effects of different ventilatory settings on pulmonary and systemic inflammatory responses during major surgery. Anesth Analg 2004;98:775-81, table of contents.
34. Yang M, Ahn HJ, Kim K, et al. Does a protective ventilation strategy reduce the risk of pulmonary complications after lung cancer surgery? A randomized controlled trial. Chest 2011;139: 530-7.
35. Zupancich E, Paparella D, Turani F, et al. Mechanical ventilation affects inflammatory mediators in patients undergoing cardiopulmonary bypass for cardiac surgery: a randomized clinical trial. J Thorac Cardiovasc Surg 2005;130:378-83.
36. Serpa Neto A, Cardoso SO, Manetta JA, et al. Association between use of lung-protective ventilation with lower tidal volumes and clinical outcomes among patients without acute respiratory distress syndrome: a meta-analysis. JAMA 2012;308:1651-9.
37. Serpa Neto A, Hemmes SN, Barbas CS, et al. Protective versus conventional ventilation for surgery: a systematic review and individual patient data meta-analysis. Anesthesiology2015.
38. O'Brien J. Absorption atelectasis: incidence and clinical implications. AANA J 2013;81:205-8.
39. Joyce CJ, Williams AB. Kinetics of absorption atelectasis during anesthesia: a mathematical model. J Appl Physiol 1999;86: 1116-25.
40. Hedenstierna G, Rothen HU. Respiratory function during anesthesia: effects on gas exchange. Compr Physiol 2012;2:69-96.
41. Ward DS, Karan SB, Pandit JJ. Hypoxia: developments in basic science, physiology and clinical studies. Anaesthesia 2011;66(Suppl 2):19-26.
42. Hemmes SN, Severgnini P, Jaber S, et al. Rationale and study design of PROVHILO-a worldwide multicenter randomized controlled trial on protective ventilation during general anesthesia for open abdominal surgery. Trials 2011;12:111.
43. Hemmes SN, Gama de Abreu M, Pelosi P, et al. PROVE Network Investigators for the Clinical Trial Network of the European Society of Anaesthesiology. High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial. Lancet 2014;384:495-503.
44. Curley G, Hayes M, Laffey JG. Can 'permissive' hypercapnia modulate the severity of sepsis-induced ALI/ARDS? Crit Care 2011;15:212.
45. Laffey JG, Tanaka M, Engelberts D, et al. Therapeutic hypercapnia reduces pulmonary and systemic injury following in vivo lung reperfusion. Am J Respir Crit Care Med 2000;162:2287-94.
46. Sinclair SE, Kregenow DA, Lamm WJ, et al. Hypercapnic acidosis is protective in an in vivo model of ventilator-induced lung injury. Am J Respir Crit Care Med 2002;166:403-8.
47. Takeshita K, Suzuki Y, Nishio K, et al. Hypercapnic acidosis attenuates endotoxin-induced nuclear factor-[kappa]B activation. Am J Respir Cell Mol Biol 2003;29:124-32.
48. Zhang Z, Xu X, Ni H. Small studies may overestimate the effect sizes in critical care meta-analyses: a meta-epidemiological study. Crit Care 2013;17:R2.
49. Warn DE, Thompson SG, Spiegelhalter DJ. Bayesian random effects meta-analysis of trials with binary outcomes: methods for the absolute risk difference and relative risk scales. Stat Med 2002;21:1601-23.
50. Kalil AC, Sun J. Why are clinicians not embracing the results from pivotal clinical trials in severe sepsis? A Bayesian analysis. PLoS ONE 2008;3:e2291.
51. Zhang Z. The efficacy of activated protein C for the treatment of sepsis: incorporating observational evidence with a Bayesian approach. BMJ Open 2015;5:e006524.