A multicentre observational study of intra-operative ventilatory management during general anaesthesia: tidal volumes and relation to body weight.
Anaesthesia
; 67(9): 999-1008, 2012 Sep.
Article
en En
| MEDLINE
| ID: mdl-22708696
ABSTRACT
We conducted an observational prospective multicenter study to describe the practices of mechanical ventilation, to determine the incidence of use of large intra-operative tidal volumes (≥10 ml.kg(-1) of ideal body weight) and to identify patient factors associated with this practice. Of the 2960 patients studied in 97 anaesthesia units from 49 hospitals, volume controlled mode was the most commonly used (85%). The mean (SD) tidal volume was 533 (82) ml; 7.7 (1.3) ml.kg(-1) (actual weight) and 8.8 (1.4) ml.kg(-1) (ideal body weight)). The lungs of 381 (18%) patients were ventilated with a tidal volume>10 ml.kg(-1) ideal body weight. Being female (OR 5.58 (95% CI 4.20-7.43)) and by logistic regression, underweight (OR 0.06 (95% CI 0.01-0.45)), overweight (OR 1.98 (95% CI 1.49-2.65)), obese (OR 5.02 (95% CI 3.51-7.16)), severely obese (OR 10.12 (95% CI 5.79-17.68)) and morbidly obese (OR 14.49 (95% CI 6.99-30.03)) were the significant (pâ≤â0.005) independent factors for the use of large tidal volumes during anaesthesia.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Peso Corporal
/
Volumen de Ventilación Pulmonar
/
Manejo de la Vía Aérea
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Cuidados Intraoperatorios
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Anestesia General
Tipo de estudio:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Anaesthesia
Año:
2012
Tipo del documento:
Article
País de afiliación:
Francia