Effect of Recruitment Maneuvers and PEEP on Respiratory Failure After Cardiothoracic Surgery in Obese Subjects: A Randomized Controlled Trial.

Body Mass Index Humans Obesity / complications Positive-Pressure Respiration Pulmonary Atelectasis Respiratory Insufficiency / etiology
cardiac surgery obesity positive end-expiratory pressure randomized controlled trial recruitment maneuver respiratory failure

Journal

Respiratory care
ISSN: 1943-3654
Titre abrégé: Respir Care
Pays: United States
ID NLM: 7510357

Informations de publication

Date de publication:
Aug 2021
Historique:
pubmed: 13 5 2021
medline: 3 8 2021
entrez: 12 5 2021
Statut: ppublish

Résumé

Obesity may increase the risk of respiratory failure after cardiothoracic surgery. A recruitment maneuver followed by PEEP might decrease the risk of respiratory failure in obese subjects. We hypothesized that the routine use after heart surgery of a recruitment maneuver followed by high or low PEEP level would decrease the frequency of respiratory failure in obese subjects. In a pragmatic, randomized controlled trial, we assigned obese subjects (ie, with body mass index [BMI] The study included 192 subjects: 65 in the control group (BMI 33.5 ± 3.2 kg/m The routine use after heart surgery of a recruitment maneuver followed by 5 or 10 cm H

Sections du résumé

BACKGROUND BACKGROUND
Obesity may increase the risk of respiratory failure after cardiothoracic surgery. A recruitment maneuver followed by PEEP might decrease the risk of respiratory failure in obese subjects. We hypothesized that the routine use after heart surgery of a recruitment maneuver followed by high or low PEEP level would decrease the frequency of respiratory failure in obese subjects.
METHODS METHODS
In a pragmatic, randomized controlled trial, we assigned obese subjects (ie, with body mass index [BMI]
RESULTS RESULTS
The study included 192 subjects: 65 in the control group (BMI 33.5 ± 3.2 kg/m
CONCLUSIONS CONCLUSIONS
The routine use after heart surgery of a recruitment maneuver followed by 5 or 10 cm H

Identifiants

DOI: 10.4187/respcare.08607 PMID: 33975901
pubmed: 33975901
pii: respcare.08607
doi: 10.4187/respcare.08607
doi:

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

1306-1314

Informations de copyright

Copyright © 2021 by Daedalus Enterprises.

Déclaration de conflit d'intérêts

Dr Stéphan has disclosed a relationship with Fisher & Paykel Healthcare. The other authors have disclosed no conflicts of interest.

Auteurs

Priscilla Amaru (P)

Cardiothoracic ICU, Department of Anesthesiology and ICU, Hôpital Marie Lannelongue, Le Plessis Robinson, France.

Bertrand Delannoy (B)

Anesthesiology, Clinique de la Sauvegarde, Lyon, France.

Thibaut Genty (T)

Cardiothoracic ICU, Department of Anesthesiology and ICU, Hôpital Marie Lannelongue, Le Plessis Robinson, France.

Olivier Desebbe (O)

Anesthesiology, Clinique de la Sauvegarde, Lyon, France.

Florent Laverdure (F)

Anesthesiology, Department of Anesthesiology and ICU, Hôpital Marie Lannelongue, Le Plessis Robinson, France.

Saida Rezaiguia-Delclaux (S)

Anesthesiology, Clinique de la Sauvegarde, Lyon, France.

François Stéphan (F)

Cardiothoracic ICU, Department of Anesthesiology and ICU, Hôpital Marie Lannelongue, Le Plessis Robinson, France. f.stephan@ghpsj.fr.

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Classifications MeSH

Recherchemedicale.com › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Biométrie › Anthropométrie › Indice de masse corporelle › Effect of Recruitment Maneuvers and PEEP on...
Recherchemedicale.com › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Effect of Recruitment Maneuvers and PEEP on...
Recherchemedicale.com › États, signes et symptômes pathologiques › Signes et symptômes › Obésité › Effect of Recruitment Maneuvers and PEEP on...
Recherchemedicale.com › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Ventilation à pression positive › Effect of Recruitment Maneuvers and PEEP on...
Recherchemedicale.com › Maladies de l'appareil respiratoire › Maladies pulmonaires › Atélectasie pulmonaire › Effect of Recruitment Maneuvers and PEEP on...
Recherchemedicale.com › Maladies de l'appareil respiratoire › Troubles respiratoires › Insuffisance respiratoire › Effect of Recruitment Maneuvers and PEEP on...