Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of stay and lung injury in adults without acute lung injury

Cochrane Database of Systematic Reviews

Volumn 2018, Issue 7, 2018, Pages

  Guay, Joanne ^a,b,c   Ochroch, Edward A ^d   Kopp, Sandra ^e  

^a UNIVERSITY OF SHERBROOKE   (Canada)

^b UNIVERSITÉ DU QUÉBEC EN ABITIBI TÉMISCAMINGUE   (Canada)

^c UNIVERSITÉ LAVAL   (Canada)

^d UNIVERSITY OF PENNSYLVANIA   (United States)

^e Mayo Clinic   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL SURGERY; ACUTE LUNG INJURY; ARTIFICIAL VENTILATION; ENDARTERECTOMY; EVIDENCE BASED MEDICINE; HEART SURGERY; HUMAN; INTENSIVE CARE UNIT; KNEE SURGERY; LENGTH OF STAY; LUNG INJURY; NONINVASIVE VENTILATION; OUTCOME ASSESSMENT; PEROPERATIVE CARE; PNEUMOMEDIASTINUM; PNEUMONIA; PNEUMOTHORAX; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; SPINE SURGERY; SUBCUTANEOUS EMPHYSEMA; SURGICAL MORTALITY; SYSTEMATIC REVIEW; TIDAL VOLUME; ADULT; AERATION; AGED; ATELECTASIS; BAROTRAUMA; BODY WEIGHT; FEMALE; HOSPITAL MORTALITY; MALE; META ANALYSIS; MIDDLE AGED; MORTALITY; POSITIVE END EXPIRATORY PRESSURE; POSTOPERATIVE CARE; PROCEDURES; STATISTICS AND NUMERICAL DATA;

ACUTE LUNG INJURY; ADULT; AGED; BAROTRAUMA; BODY WEIGHT; FEMALE; HOSPITAL MORTALITY; HUMANS; INSUFFLATION; INTENSIVE CARE UNITS; INTRAOPERATIVE CARE; LENGTH OF STAY; MALE; MIDDLE AGED; NONINVASIVE VENTILATION; PNEUMONIA; POSITIVE-PRESSURE RESPIRATION; POSTOPERATIVE CARE; PULMONARY ATELECTASIS; RANDOMIZED CONTROLLED TRIALS AS TOPIC; TIDAL VOLUME;

EID: 85049638962     PISSN: 14651858     EISSN: None     Source Type: Journal    
DOI: 10.1002/14651858.CD011151.pub3     Document Type: Review

References (116)

1. Bates DM, Fernandes TM, Duwe BV, King BO, Banks DA, Test VJ, et al. Efficacy of a low-tidal volume ventilation strategy to prevent reperfusion lung injury after pulmonary thromboendarterectomy. Annals of the American Thoracic Society 2015;12(10):1520-7. [PUBMED: 26241077]8837261
2. Chaney MA, Nikolov MP, Blakeman BP, Bakhos M. Protective ventilation attenuates postoperative pulmonary dysfunction in patients undergoing cardiopulmonary bypass. Journal of Cardiothoracic and Vascular Anesthesia 2000;14(5):514-8. [PUBMED: 11052430]2689986
3. Choi G, Wolthuis EK, Bresser P, Levi M, van der Poll T, Dzoljic M, et al. Mechanical ventilation with lower tidal volumes and positive end-expiratory pressure prevents alveolar coagulation in patients without lung injury. Anesthesiology 2006;105(4):689-95. [PUBMED: 17006066]2689988
4. Determann RM, Wolthuis EK, Choi G, Bresser P, Bernard A, Lutter R, et al. Lung epithelial injury markers are not influenced by use of lower tidal volumes during elective surgery in patients without preexisting lung injury. American Journal of Physiology. Lung Cellular and Molecular Physiology 2008;294(2):344-50. [PUBMED: 18083770]2689989
5. Wolthuis EK, Choi G, Dessing MC, Bresser P, Lutter R, Dzoljic M, et al. Mechanical ventilation with lower tidal volumes and positive end-expiratory pressure prevents pulmonary inflammation in patients without preexisting lung injury. Anaesthesiology 2008;108(1):46-54. [PUBMED: 18156881]2689990
6. Chugh V, Tyagi A, Das S, Sethi AK. Intraoperative ventilation with lowered tidal volumes in patients of perforation peritonitis: effect on postoperative organ dysfunction and systemic inflammatory mediators. www.asaabstracts.com 2012; Vol. Respiration:A1138. [A1138]2689992
7. Fernandez-Bustamante A, Klawitter J, Repine JE, Agazio A, Janocha AJ, Shah C, et al. Early effect of tidal volume on lung injury biomarkers in surgical patients with healthy lungs. Anesthesiology 2014;121(3):469-81. [PUBMED: 24809976]2689994
8. Futier E, Constantin JM, Paugam-Burtz C, Pascal J, Eurin M, Neuschwander A, et al. A trial of intraoperative low-tidal-volume ventilation in abdominal surgery. New England Journal of Medicine 2013;369(5):428-37. [PUBMED: 23902482]8837262
9. Jabaudon M, Blondonnet R, Roszyk L, Bazin JE, Pereira B, Sapin V, et al. Influence of intraoperative lung-protective ventilation on lung epithelial marker Srage, the soluble form of the receptor for advanced glycation end-products, in patients without preexisting lung injury. American Journal of Respiratory and Critical Care Medicine. 2015; Vol. 191:A1194. 8837263
10. Jabaudon M, Futier E, Roszyk L, Sapin V, Pereira B, Constantin JM. Association between intraoperative ventilator settings and plasma levels of soluble receptor for advanced glycation end-products in patients without pre-existing lung injury. Respirology 2015;20(7):1131-8. [PUBMED: 26122046]8837264
11. Neuschwander A, Futier E, Jaber S, Pereira B, Eurin M, Marret E, et al. The effects of intraoperative lung protective ventilation with positive end-expiratory pressure on blood loss during hepatic resection surgery: a secondary analysis of data from a published randomised control trial (IMPROVE). European Journal of Anaesthesiology 2016;33(4):292-8. [PUBMED: 26716865 ]8837265
12. Ge Y, Yuan L, Jiang X, Wang X, Xu R, Ma W. Effect of lung protection mechanical ventilation on respiratory function in the elderly undergoing spinal fusion. Zhong Nan da Xue Xue Bao. Yi Xue Ban [Journal of Central South University. Medical Sciences] 2013;38(1):81-5. [PUBMED: 23406861]2689998
13. Koner O, Celebi S, Balci H, Cetin G, Karaoglu K, Cakar N. Effects of protective and conventional mechanical ventilation on pulmonary function and systemic cytokine release after cardiopulmonary bypass. Intensive Care Medicine 2004;30(4):620-6. [PUBMED: 14722635]2690000
14. Kuzkov VV, Rodionova LN, Ilyina YY, Ushakov AA, Sokolova MM, Fot EV, et al. Protective ventilation improves gas exchange, reduces incidence of atelectases, and affects metabolic response in major pancreatoduodenal surgery. Frontiers in Medicine 2016;3:66. [PUBMED: 27999775]8837267
15. Memtsoudis SG, Bombardieri AM, Ma Y, Girardi FP. 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. Journal of Clinical Anaesthesia 2012;24(4):263-9. [PUBMED: 22001758]2690002
16. Park SJ, Kim BG, Oh AH, Han SH, Han HS, Ryu JH. Effects of intraoperative protective lung ventilation on postoperative pulmonary complications in patients with laparoscopic surgery: prospective, randomized and controlled trial. Surgical Endoscopy 2016;30(10):4598-606. [PUBMED: 26895920]8837269
17. Sato H, Nakamura K, Baba Y, Terada S, Goto T, Kurahashi K. Low tidal volume ventilation with low PEEP during surgery may induce lung inflammation. BioMed Central Anesthesiology 2016;16(1):47. [PUBMED: 27473050]8837271
18. Shen ZJ, Dong R. Value of protective mechanical ventilation for alleviating symptoms of general anesthesia patients with high risk of postoperative pulmonary complications. Journal of Shanghai Jiaotong University (Medical Science) 2015;35(11):1632-5. 8837273
19. Soh S, Shim JK, Ha Y, Kim YS, Lee H, Kwak YL. Ventilation with high or low tidal volume with PEEP does not influence lung function after spinal surgery in prone position: a randomized controlled trial. Journal of Neurosurgical Anesthesiology 2018;30(3):237-45. [PUBMED: 28338504]8837275
20. Sundar S, Novack V, Jervis K, Bender SP, Lerner A, Panzica P, et al. Influence of low tidal volume ventilation on time to extubation in cardiac surgical patients. Anesthesiology 2011;114(5):1102-10. [PUBMED: 21430518]2690004
21. Treschan TA, Kaisers W, Schaefer MS, Bastin B, Schmalz U, Wania V, et al. Ventilation with low tidal volumes during upper abdominal surgery does not improve postoperative lung function. British Journal of Anaesthesia 2012;109(2):263-71. [PUBMED: 22661750]2690006
22. Weingarten TN, Whalen FX, Warner DO, Gajic O, Schears GJ, Snyder MR, et al. Comparison of two ventilatory strategies in elderly patients undergoing major abdominal surgery. British Journal of Anaesthesia 2010;104(1):16-22. [PUBMED: 19933173]2690008
23. Xiong W, Chen P, Gao J, Yuan R. Lung protective ventilation in elderly patients undergoing spinal operation in the prone position: a randomized controlled trial. Nan Fang Yi Ke da Xue Xue Bao [Journal of Southern Medical University] 2016;36(2):215-9. [PUBMED: 26922019]8837277
24. Zupancich E, Paparella D, Turani F, Munch C, Rossi A, Massaccesi S, et al. Mechanical ventilation affects inflammatory mediators in patients undergoing cardiopulmonary bypass for cardiac surgery: a randomized clinical trial. Journal of Thoracic and Cardiovascular Surgery 2005;130(2):378-83. [PUBMED: 16077402]2690010
25. Akca O, Kurz A, Fleischmann E, Buggy D, Herbst F, Stocchi L, et al. Hypercapnia and surgical site infection: a randomized trial. British Journal of Anaesthesia 2013;111(5):759-67. [PUBMED: 23887247]2690012
26. Arora V, Tyagi A, Kumar S, Kakkar A, Das S. Intraoperative low tidal volume ventilation strategy has no benefits during laparoscopic cholecystectomy. Journal of Anaesthesiology, Clinical Pharmacology 2017;33(1):57-63. [PUBMED: 28413273]8837279
27. Baki ED, Kokulu S, Bal A, Ela Y, Sivaci RG, Yoldas M, et al. Evaluation of low tidal volume with positive end-expiratory pressure application effects on arterial blood gases during laparoscopic surgery. Journal of the Chinese Medical Association 2014;77(7):374-8. [PUBMED: 24950920]2690014
28. Blum JM, Stentz MJ, Maile MD, Jewell E, Raghavendran K, Engoren M, et al. Automated alerting and recommendations for the management of patients with preexisting hypoxia and potential acute lung injury: a pilot study. Anesthesiology 2013;119(2):295-302. [PUBMED: 23681144]2690016
29. Cai H, Gong H, Zhang L, Wang Y, Tian Y. Effect of low tidal volume ventilation on atelectasis in patients during general anaesthesia: a computed tomographic scan. Journal of Clinical Anaesthesia 2007;19(2):125-9. [PUBMED: 17379125]2690018
30. Clarke JP, Schuitemaker MN, Sleigh JW. The effect of intraoperative ventilation strategies on perioperative atelectasis. Anaesthesia and Intensive Care 1998;26(3):262-6. [PUBMED: 9619219]2690020
31. Cui Y, Pi X, Wang C, Liu S, Gong Y, Wang Y, et al. Effects of different ventilation strategies on exhaled nitric oxide in geriatric abdominal surgery. Journal of Breath Research 2015;9(1):016006. [PUBMED: 25719610]8837281
32. Determann RM, Royakkers A, Wolthuis EK, Vlaar AP, Choi G, Paulus F, et al. Ventilation with lower tidal volumes as compared with conventional tidal volumes for patients without acute lung injury: a preventive randomized controlled trial. Critical Care (London, England) 2010;14(1):R1. [DOI: 10.1152/ajplung.00268.2007; PUBMED: 20055989]8837283
33. Ding W, Shen L, Xiang MJ, Yu C, Lu ZJ. Effects of low tidal volume mechanical ventilation and lung recruitment maneuver on early pulmonary infection after abdominal operations in elderly patients. Journal of Shanghai Jiao Tong University (Medical Science) 2016;36(11):1617-21. 8837285
34. Ela Y, Baki ED, Ates M, Kokulu S, Keles I, Karalar M, et al. Exploring for the safer ventilation method in laparoscopic urologic patients? Conventional or low tidal?. Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a 2014;24(11):786-90. [PUBMED: 24918629]2690022
35. Ferrando C, Soro M, Canet J, Unzueta MC, Suarez F, Librero J, et al. Rationale and study design for an individualized perioperative open lung ventilatory strategy (iPROVE): study protocol for a randomized controlled trial. Trials 2015;16:193. [PUBMED: 25927183]8837287
36. Gajic O, Dara SI, Mendez JL, Adesanya AO, Festic E, Caples SM, et al. Ventilator-associated lung injury in patients without acute lung injury at the onset of mechanical ventilation. Critical Care Medicine 2004;32(9):1817-24. [PUBMED: 15343007]8837289
37. Gajic O, Frutos-Vivar F, Esteban A, Hubmayr RD, Anzueto A. Ventilator settings as a risk factor for acute respiratory distress syndrome in mechanically ventilated patients. Intensive Care Medicine 2005;31(7):922-6. [PUBMED: 15856172]8837291
38. Gong H, Zhang LN, Cai HW, Wang YJ, Hou YH. Effect of different tidal volume ventilations on atelectasis in patients during general anaesthesia by CT scan. Zhong Nan da Xue Xue Bao. Yi Xue Ban [Journal of Central South University. Medical Sciences] 2007;32(5):850-4. [PUBMED: 18007083]2690024
39. Hosten T, Kus A, Gumus E, Yavuz S, Irkil S, Solak M. Comparison of intraoperative volume and pressure-controlled ventilation modes in patients who undergo open heart surgery. Journal of Clinical Monitoring and Computing 2017;31(1):75-84. [PUBMED: 26992377]8837293
40. Jain AK. A ventilatory strategy for morbidly obese undergoing laparoscopic surgery - abdominal obesity based approach. Anesthesia and Analgesia 2016;123 (3 Suppl 2):812. [EMBASE: 612648492]8837295
41. Jiang JJ, Yuan HB, Sun PL. Effect of low tidal volume ventilation plus positive end-expiratory pressure on pulmonary oxygenation in septic patients during operation. Academic Journal of Second Military Medical University 2007;28(5):570-2. [DOI: 10.3724/SP.J.1008.2007.00570]8837296
42. Kaisers W, Wania V, Eisenberger C, Schmitz A, Treschan T. Influence of high versus low tidal volumes on airway pressure in patients with healthy lungs [Abstract]. European Journal of Anaesthesiology 2009;26(Suppl 45):81. 2690028
43. Kanaya A, Satoh D, Kurosawa S. Influence of tidal volume on functional residual capacity during general anaesthesia. Masui. The Japanese Journal of Anesthesiology 2011;60(10):1149-52. [PUBMED: 22111353]2690030
44. Kang WS, Kim SH, Woo Chung J. Comparison of pulmonary gas exchange according to intraoperative ventilation modes for mitral valve repair surgery via thoracotomy with one-lung ventilation: a randomized controlled trial. Journal of Cardiothoracic and Vascular Anaesthesia 2014;28(4):920-5. [PUBMED: 24480179]2690032
45. Kim SH, Jung KT, An TH. Effects of tidal volume and PEEP on arterial blood gases and pulmonary mechanics during one-lung ventilation. Journal of Anaesthesia 2012;26(4):568-73. [PUBMED: 22349751]2690034
46. Kokulu S, Gunay E, Baki ED, Ulasli SS, Yilmazer M, Koca B, et al. Impact of a lung-protective ventilatory strategy on systemic and pulmonary inflammatory responses during laparoscopic surgery: is it really helpful?. Inflammation 2015;38(1):361-7. [PUBMED: 25280837]8837298
47. Lee PC, Helsmoortel CM, Cohn SM, Fink MP. Are low tidal volumes safe?. Chest 1990;97(2):430-4. [PUBMED: 2288551]8837300
48. Lellouche F, Dionne S, Simard S, Bussieres J, Dagenais F. High tidal volumes in mechanically ventilated patients increase organ dysfunction after cardiac surgery. Anesthesiology 2012;116(5):1072-82. [DOI: 10.1097/ALN.0b013e3182522df5; PUBMED: 22450472]8837302
49. Lin WQ, Lu XY, Cao LH, Wen LL, Bai XH, Zhong ZJ. Effects of the lung protective ventilatory strategy on proinflammatory cytokine release during one-lung ventilation. Ai Zheng [Chinese Journal of Cancer] 2008;27(8):870-3. [PUBMED: 18710624]8837304
50. Liu Y, Lou JS, Mi WD, Yuan WX, Fu Q, Wang M, et al. Pulse pressure variation shows a direct linear correlation with tidal volume in anesthetized healthy patients. BioMed Central Anesthesiology 2016;16:75. [PUBMED: 27609188]8837306
51. Mascia L, Pasero D, Slutsky AS, Arguis MJ, Berardino M, Grasso S, et al. Effect of a lung protective strategy for organ donors on eligibility and availability of lungs for transplantation: a randomized controlled trial. JAMA 2010;304(23):2620-7. [PUBMED: 21156950]2690038
52. Maslow AD, Stafford TS, Davignon KR, Ng T. A randomized comparison of different ventilator strategies during thoracotomy for pulmonary resection. Journal of Thoracic and Cardiovascular Surgery 2013;146(1):38-44. [PUBMED: 23380515]2690040
53. Michelet P, D'Journo XB, Roch A, Doddoli C, Marin V, Papazian L, et al. Protective ventilation influences systemic inflammation after esophagectomy: a randomized controlled study. Anesthesiology 2006;105(5):911-9. [PUBMED: 17065884]8837308
54. Pinheiro de Oliveira R, Hetzel MP, dos Anjos Silva M, Dallegrave D, Friedman G. Mechanical ventilation with high tidal volume induces inflammation in patients without lung disease. Critical Care (London, England) 2010;14(2):R39. [DOI: 10.1186/cc8919; PUBMED: 20236550]8837310
55. Reis Miranda D, Struijs A, Koetsier P, van Thiel R, Schepp R, Hop W, et al. Open lung ventilation improves functional residual capacity after extubation in cardiac surgery. Critical Care Medicine 2005;33(10):2253-8. [PUBMED: 16215379]8837312
56. Reis Miranda D, Gommers D, Struijs A, Dekker R, Mekel J, Feelders R, et al. Ventilation according to the open lung concept attenuates pulmonary inflammatory response in cardiac surgery. European Journal of Cardio-thoracic Surgery 2005;28(6):889-95. [PUBMED: 16271479]8837314
57. Satoh D, Kurosawa S, Kirino W, Wagatsuma T, Ejima Y, Yoshida A, et al. Impact of changes of positive end-expiratory pressure on functional residual capacity at low tidal volume ventilation during general anaesthesia. Journal of Anaesthesia 2012;26(5):664-9. [PUBMED: 22584817]2690048
58. Severgnini P, Selmo G, Lanza C, Chiesa A, Frigerio A, Bacuzzi A, et al. Protective mechanical ventilation during general anaesthesia for open abdominal surgery improves postoperative pulmonary function. Anesthesiology 2013;118(6):1307-21. [PUBMED: 23542800]2690050
59. Shin HY, Kim SH, Lee YJ, Kim DK. The effect of mechanical ventilation tidal volume during pneumoperitoneum on shoulder pain after a laparoscopic appendectomy. Surgical Endoscopy 2010;24(8):2002-7. [PUBMED: 20135168]2690052
60. Thornton S, Fletcher R, Foster P. Little effect of ventilatory rate and tidal volume on end-expiratory pressure after cardiac surgery. British Journal of Anaesthesia 1998;80(4):553-4. [EMBASE: 28171415]2690054
61. Tugrul M, Camci E, Yavru A, Turnaoglu S, Karakoca S, Ozkan T, et al. Reducing tidal volume does not affect oxygenation in ASA I-II patients during anaesthesia. Applied Cardiopulmonary Pathophysiology 1998;8(1):29-35. [EMBASE: 29462282]2690056
62. Tusman G, Bohm SH, Vazquez de Anda GF, do Campo JL, Lachmann B. 'Alveolar recruitment strategy' improves arterial oxygenation during general anaesthesia. British Journal of Anaesthesia 1999;82(1):8-13. [PUBMED: 10325828]2690058
63. Tweed WA, Phua WT, Chong KY, Lim E, Lee TL. Large tidal volume ventilation improves pulmonary gas exchange during lower abdominal surgery in Trendelenburg's position. Canadian Journal of Anaesthesia 1991;38(8):989-95. [PUBMED: 1752022]2690060
64. Visick WD, Fairley HB, Hickey RF. The effects of tidal volume and end-expiratory pressure on pulmonary gas exchange during anaesthesia. Anesthesiology 1973;39(3):285-90. [PUBMED: 4580631]2690062
65. Weismann D, Maier SKG. Prevention of a breathing trauma with low tidal volume ventilation: results of a randomized, controlled prevention study [Prävention eines beatmungstraumas mit niedrigen tidalvolumina. Ergebnisse einer randomisierten, kontrollierten präventionsstudie]. Medizinische Klinik 2010;105(3):178-9. [EMBASE: 358748244]2690064
66. Wolthuis EK, Korevaar JC, Spronk P, Kuiper MA, Dzoljic M, Vroom MB, et al. Feedback and education improve physician compliance in use of lung-protective mechanical ventilation. Intensive Care Medicine 2005;31(4):540-6. [DOI: 10.1007/s00134-005-2581-9; PUBMED: 15731892]8837316
67. Wolthuis EK, Veelo DP, Choi G, Determann RM, Korevaar JC, Spronk PE, et al. Mechanical ventilation with lower tidal volumes does not influence the prescription of opioids or sedatives. Critical Care (London, England) 2007;11(4):R77. [DOI: 10.1186/cc5969; PUBMED: 17629900]8837317
68. Wrigge H, Zinserling J, Stuber F, von Spiegel T, Hering R, Wetegrove S, et al. Effects of mechanical ventilation on release of cytokines into systemic circulation in patients with normal pulmonary function. Anesthesiology 2000;93(6):1413-7. [PUBMED: 11149435]2690066
69. Wrigge H, Uhlig U, Zinserling J, Behrends-Callsen E, Ottersbach G, Fischer M, et al. The effects of different ventilatory settings on pulmonary and systemic inflammatory responses during major surgery. Anaesthesia and Analgesia 2004;98(3):775-81. [DOI: 10.1213/01.ANE.0000100663.11852.BF; PUBMED: 14980936]2690068
70. Wrigge H, Uhlig U, Baumgarten G, Menzenbach J, Zinserling J, Ernst M, et al. Mechanical ventilation strategies and inflammatory responses to cardiac surgery: a prospective randomized clinical trial. Intensive Care Medicine 2005;31(10):1379-87. [PUBMED: 16132888]2690070
71. Yang M, Ahn HJ, Kim K, Kim JA, Yi CA, Kim MJ, et al. Does a protective ventilation strategy reduce the risk of pulmonary complications after lung cancer surgery?: a randomized controlled trial. Chest 2011;139(3):530-7. [PUBMED: 20829341]2690072
72. Zhan-fang LI, Min ZJ, Qing-hua LI, Tian ZY, Cheng LU, Jiang B, et al. The optimal combination of mechanical ventilatory parameters under general anaesthesia in obese patients undergoing laparoscopic surgery. Fudan University Journal of Medical Sciences 2010;37(1):11-5. 2690074
73. ACTRN12614000100695. Effect of low tidal volume during general anaesthesia for urological procedures on lung functions. www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12614000100695 Date first received: 28 January 2014. 8837319
74. Asida S, Badawy M. Effect of low tidal volume during general anesthesia for urological procedures on lung functions. Egyptian Journal of Anaesthesia 2015;31:127-34. [CENTRAL: 01070550; DOI: 10.1016/j.egja.2015.02.001; EMBASE: 603507596]8837320
75. Badawy M, Asida S. Effect of low tidal volume during general anesthesia for urological procedures on lung functions. Chest 2015;148:1015A. [CENTRAL: 01163112; DOI: 10.1378/chest.2275080; EMBASE: 72132873]8837321
76. Badawy M, Asida S. Effect of low tidal volume during general anesthesia for urological procedures on lung functions. European Respiratory Journal 2015;46:1824. [CENTRAL: 01162393; DOI: 10.1183/13993003; EMBASE: 72105867]8837322
77. Haliloglu M, Bilgili B, Ozdemir M, Umuroglu T, Bakan N. Low tidal volume-positive end-expiratory pressure versus high tidal volume-zero positive end-expiratory pressure and postoperative pulmonary functions in robot-assisted laparoscopic radical prostatectomy. Medical Principles and Practice 2017;31:31. [DOI: 10.1159/000484693; PUBMED: 29131002]8837324
78. Moussa SF, El Khlousy M. Clinical and laboratory assessment of protective ventilation versus conventional ventilation in patients undergoing coronary artery bypass surgery. Egyptian Journal of Anaesthesia 2003;19(4):337-43. [CENTRAL: 00474837]2690076
79. Tang C, Li J, Lei S, Zhao B, Zhang Z, Huang W, et al. Lung-protective ventilation strategies for relief from ventilator-associated lung injury in patients undergoing craniotomy: a bicenter randomized, parallel, and controlled trial. Oxidative Medicine and Cellular Longevity 2017;2017:1-12. [CENTRAL: 01394981; DOI: 10.1155/2017/6501248; EMBASE: 617361026; PUBMED: 28757912]8837326
80. ACTRN12614000790640. A prospective randomised trial of two tidal volume ventilator strategies in patients undergoing major surgery. www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366752&isReview=true Date first received: 24 July 2014. 2690080
81. NCT01003730. The effects of different ventilator strategies on inflammation and injury in normal lungs. clinicaltrials.gov/ct2/show/NCT01003730 Date first received: 29 October 2009. [NCT01003730]8837328
82. NCT03157479. Intraoperative protective ventilation for obese patients undergoing gynaecological laparoscopic surgery (Inprove4large). clinicaltrials.gov/ct2/show/NCT03157479 Date first received: 17 May 2017. [NCT03157479]8837330
83. Acute Respiratory Distress Syndrome Network, Brower RG, Matthay MA, Morris A, Schoenfeld D, Thompson BT, et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. New England Journal of Medicine 2000;342(18):1301-8. [PUBMED: 10793162]
84. Aliverti A, Kostic P, Lo Mauro A, Andersson-Olerud M, Quaranta M, Pedotti A, et al. Effects of propofol anaesthesia on thoraco-abdominal volume variations during spontaneous breathing and mechanical ventilation. Acta Anaesthesiologica Scandinavica 2011;55(5):588-96. [PUBMED: 21385159]
85. Barbosa FT, Castro AA, de Sousa-Rodrigues CF. Positive end-expiratory pressure (PEEP) during anaesthesia for prevention of mortality and postoperative pulmonary complications. Cochrane Database of Systematic Reviews 2014, Issue 6. [DOI: 10.1002/14651858.CD007922.pub3]
86. Bendixen HH, Hedley-Whyte J, Laver MB. Impaired oxygenation in surgical patients during general anaesthesia with controlled ventilation. A concept of atelectasis. New England Journal of Medicine 1963;269:991-6. [PUBMED: 14059732]
87. Borenstein M, Hedges LV, Higgins PT, Rothstein HR. Publication bias. In: Borenstein M, Hedges LV, Higgins JP, Rothstein HR editor(s). Introduction to Meta-Analysis. 1st Edition. Chichester, UK: Wiley, 2009:277-92.
88. Brismar B, Hedenstierna G, Lundquist H, Strandberg A, Svensson L, Tokics L. Pulmonary densities during anaesthesia with muscular relaxation - a proposal of atelectasis. Anesthesiology 1985;62(4):422-8. [PUBMED: 3885791]
89. Deeks JJ. Issues in the selection of a summary statistic for meta-analysis of clinical trials with binary outcomes. Statistics in Medicine 2002;21(11):1575-600. [PUBMED: 12111921]
90. Duval S, Tweedie R. A simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics 2000;56(2):455-63. [PUBMED: 10877304]
91. Duval S, Tweedie R. A nonparametric "trim and fill" method accounting for publication bias in meta-analysis. Journal of the American Statistical Association 2000;95(449):89-98.
92. Edmark L, Auner U, Enlund M, Ostberg E, Hedenstierna G. Oxygen concentration and characteristics of progressive atelectasis formation during anaesthesia. Acta Anaesthesiologica Scandinavica 2011;55(1):75-81. [PUBMED: 21039356]
93. Eldridge MW, Dempsey JA, Haverkamp HC, Lovering AT, Hokanson JS. Exercise-induced intrapulmonary arteriovenous shunting in healthy humans. Journal of Applied Physiology 2004;97(3):797-805. [PUBMED: 15107409]
94. Gu WJ, Wang F, Liu JC. Effect of lung-protective ventilation with lower tidal volumes on clinical outcomes among patients undergoing surgery: a meta-analysis of randomized controlled trials. Canadian Medical Association Journal 2015;187(3):E101-9. [DOI: 10.1503/cmaj.141005; PUBMED: 25512653]
95. Gunnarsson L, Tokics L, Gustavsson H, Hedenstierna G. Influence of age on atelectasis formation and gas exchange impairment during general anaesthesia. British Journal of Anaesthesia 1991;66(4):423-32. [PUBMED: 2025468]
96. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ (Clinical Research Ed.) 2008;336(7650):924-6. [PUBMED: 18436948]
97. Guyatt G, Oxman AD, Akl EA, Kunz R, Vist G, Brozek J, et al. GRADE guidelines: 1. Introduction - GRADE evidence profiles and summary of findings tables. Journal of Clinical Epidemiology 2011;64(4):383-94. [PUBMED: 21195583]
98. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ (Clinical Research Ed.) 2003;327(7414):557-60. [PUBMED: 12958120]
99. Higgins JP, Green S, editor(s). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 (updated March 2011). The Cochrane Collaboration, 2011. Available from handbook.cochrane.org.
100. Levin MA, McCormick PJ, Lin HM, Hosseinian L, Fischer GW. Low intraoperative tidal volume ventilation with minimal PEEP is associated with increased mortality. British Journal of Anaesthesia 2014;113(1):97-108. [PUBMED: 24623057]
101. Olper L, Corbetta D, Cabrini L, Landoni G, Zangrillo A. Effects of non-invasive ventilation on reintubation rate: a systematic review and meta-analysis of randomised studies of patients undergoing cardiothoracic surgery. Critical Care and Resuscitation 2013;15(3):220-7. [PUBMED: 23944209]
102. Pace NL. Research methods for meta-analyses. Best Practice & Research. Clinical Anaesthesiology 2011;25(4):523-33. [PUBMED: 22099918]
103. Park SH. Perioperative lung-protective ventilation strategy reduces postoperative pulmonary complications in patients undergoing thoracic and major abdominal surgery. Korean Journal of Anesthesiology 2016;69(1):3-7. [DOI: 10.4097/kjae.2016.69.1.3; PUBMED: 26885294]
104. Petersson J, Ax M, Frey J, Sanchez-Crespo A, Lindahl SG, Mure M. Positive end-expiratory pressure redistributes regional blood flow and ventilation differently in supine and prone humans. Anesthesiology 2010;113(6):1361-9. [PUBMED: 21068656]
105. Petrucci N, De Feo C. Lung protective ventilation strategy for the acute respiratory distress syndrome. Cochrane Database of Systematic Reviews 2013, Issue 2. [DOI: 10.1002/14651858.CD003844.pub4; PUBMED: 23450544]
106. Pogue J, Yusuf S. Overcoming the limitations of current meta-analysis of randomised controlled trials. Lancet 1998;351(9095):47-52. [PUBMED: 9433436]
107. Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager 5 (RevMan 5). Version 5.3. Copenhagen: Nordic Cochrane Centre, The Cochrane Collaboration, 2014.
108. Rucker G, Schwarzer G, Carpenter JR, Binder H, Schumacher M. Treatment-effect estimates adjusted for small-study effects via a limit meta-analysis. Biostatistics 2011;12(1):122-42. [PUBMED: 20656692]
109. Rusca M, Proietti S, Schnyder P, Frascarolo P, Hedenstierna G, Spahn DR, et al. Prevention of atelectasis formation during induction of general anaesthesia. Anesthesia and Analgesia 2003;97(6):1835-9. [PUBMED: 14633570]
110. Serpa Neto A, Cardoso SO, Manetta JA, Pereira VG, Esposito DC, Pasqualucci Mde O, 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(16):1651-9. [DOI: 10.1001/jama.2012.13730; PUBMED: 23093163]
111. Serpa Neto A, Simonis FD, Barbas CS, Biehl M, Determann RM, Elmer J, et al. Lung-protective ventilation with low tidal volumes and the occurrence of pulmonary complications in patients without acute respiratory distress syndrome: a systematic review and individual patient data analysis. Critical Care Medicine 2015;43(10):2155-63. [DOI: 10.1097/CCM.0000000000001189; PUBMED: 26181219]
112. Serpa Neto A, Hemmes SN, Barbas CS, Beiderlinden M, Biehl M, Binnekade JM, et al. Protective versus conventional ventilation for surgery: a systematic review and individual patient data meta-analysis. Anesthesiology 2015;123(1):66-78. [DOI: 10.1097/ALN.0000000000000706; PUBMED: 25978326]
113. Tao T, Bo L, Chen F, Xie Q, Zou Y, Hu B, et al. Effect of protective ventilation on postoperative pulmonary complications in patients undergoing general anaesthesia: a meta-analysis of randomised controlled trials. BMJ Open 2014;4(6):e005208. [DOI: 10.1136/bmjopen-2014-005208; PUBMED: 24961718]
114. Tusman G, Groisman I, Fiolo FE, Scandurra A, Arca JM, Krumrick G, et al. Noninvasive monitoring of lung recruitment maneuvers in morbidly obese patients: the role of pulse oximetry and volumetric capnography. Anaesthesia and Analgesia 2014;118(1):137-44. [PUBMED: 24356163]
115. Guay J, Ochroch EA. Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of stay and lung injury in patients without acute lung injury. Cochrane Database of Systematic Reviews 2015, Issue 12. [DOI: 10.1002/14651858.CD011151.pub2]
116. Nguyen D-N, Guay J, Ochroch EA. Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of stay and lung injury in patients without acute lung injury. Cochrane Database of Systematic Reviews 2014, Issue 6. [DOI: 10.1002/14651858.CD011151]