Effect of ventilation mode on pulmonary complications after thoracoscopic lung resection: A retrospective cohort study
- VernacularTitle:通气模式对胸腔镜肺切除术患者术后肺部并发症影响的回顾性队列研究
- Author:
Liang JIN
1
,
2
,
3
;
Hong YU
4
;
Wenjie MAO
1
,
5
,
6
;
Qirong SUN
4
;
Wei TIAN
4
;
Hai YU
4
Author Information
1. 1. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
2. 2. Department of Anesthesiology, Leshan People'
3. s Hospital, Leshan, 614000, Sichuan, P. R. China
4. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
5. 3. Department of Anesthesiology, Jianyang People'
6. s Hospital, Chengdu, 641400, P. R. China
- Publication Type:Journal Article
- Keywords:
Ventilation mode;
thoracoscopic lung resection;
postoperative pulmonary complications;
one-lung ventilation
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(02):211-218
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the association between pressure-controlled ventilation-volume guaranteed (PCV-VG) mode and volume-controlled ventilation (VCV) mode on postoperative pulmonary complications (PPCs) in patients undergoing thoracoscopic lung resection. Methods A retrospective cohort analysis of 329 patients undergoing elective thoracoscopic lung resection in West China Hospital of Sichuan University between September 2020 and March 2021 was conducted, including 213 females and 116 males, aged 53.6±11.3 years. American Society of Anesthesiologists (ASA) grade wasⅠ-Ⅲ. The patients who received lung-protective ventilation strategy during anesthesia were divided into a PCV-VG group (n=165) and a VCV group (n=164) according to intraoperative ventilation mode. Primary outcome was the incidence of PPCs during hospitalization. Results A total of 73 (22.2%) patients developed PPCs during hospitalization. The PPCs incidence of PCV-VG and VCV was 21.8% and 22.6%, respectively (RR=0.985, 95%CI 0.569-1.611, P=0.871). Multivariate logistic regression analysis showed that there was no statistical difference in the incidence of PPCs between PCV-VG and VCV mode during hospitalization (OR=0.846, 95%CI 0.487-1.470, P=0.553). Conclusion Among patients undergoing thoracoscopic lung resection, intraoperative ventilation mode (PCV-VG or VCV) is not associated with the risk of PPCs during hospitalization.
