Effects of lung-protective ventilation strategies on postoperative pulmonary complications in patients undergoing long-time neurosurgery: a retrospective study
10.3760/cma.j.cn131073.20230417.00707
- VernacularTitle:肺保护性通气策略对长时间神经外科手术患者术后肺部并发症的影响：回顾性研究
- Author:
Hongtao ZHANG
1
;
Lianhao JIANG
;
Lingling LIU
;
Yuanyuan KANG
;
Jun CHEN
Author Information
1. 天津市环湖医院麻醉科 天津市神经外科研究所，天津 300350
- Keywords:
Respiration, artificial;
Neurosurgical procedures;
Lung;
Postoperative complications
- From:
Chinese Journal of Anesthesiology
2023;43(7):798-801
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrospectively evaluate the effects of lung-protective ventilation strategies on postoperative pulmonary complications in the patients undergoing long-time neurosurgery.Methods:Based on the duration of anesthesia>8 h, the clinical data from patients underwent elective first craniotomy under general anesthesia from January 1, 2019 to December 31, 2021 were retrospectively collected. Patients were divided into lung-protective ventilation group (group L) and conventional mechanical ventilation group (group C) according to whether lung-protective ventilation was performed during operation. The baseline characteristics, intraoperative condition, postoperative pulmonary complications and hospitalization of patients in the two groups were recorded.Results:Compared with group C, the tidal volume was significantly decreased, positive end-expiratory pressure and respiratory rate were increased, the incidence of intraoperative hypoxemia was decreased, the number of patients with grade 1 according to the severity grade of postoperative pulmonary complications was significantly increased, and the length of hospital stay was shortened in group L ( P<0.05). There were no statistically significant differences in the baseline characteristics, incidence of postoperative pulmonary complications at 7 days after surgery and other parameters between group L and group C ( P>0.05). Conclusions:Lung-protective ventilation strategies can reduce the severity of postoperative pulmonary complications in the patients undergoing long-time neurosurgery.
