Anesthesiology
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Randomized Controlled Trial
Protective mechanical ventilation during general anesthesia for open abdominal surgery improves postoperative pulmonary function.
The impact of intraoperative ventilation on postoperative pulmonary complications is not defined. The authors aimed at determining the effectiveness of protective mechanical ventilation during open abdominal surgery on a modified Clinical Pulmonary Infection Score as primary outcome and postoperative pulmonary function. ⋯ A protective ventilation strategy during abdominal surgery lasting more than 2 h improved respiratory function and reduced the modified Clinical Pulmonary Infection Score without affecting length of hospital stay.
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Postoperative respiratory failure is associated with increased morbidity and mortality, as well as high costs of hospital care. ⋯ The authors developed and validated a score for the prediction of postoperative respiratory complications, a simple, 11-point score that can be used preoperatively by anesthesiologists to predict severe postoperative respiratory complications.