Cardiothoracic & vascular anesthesia

Effect of Mechanical Ventilation Mode Type on Postoperative Pulmonary Complications After Cardiac Surgery: A Randomized Controlled Trial

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

Among patients scheduled for cardiac surgery with CPB, intraoperative ventilation mode type did not affect the risk of postoperative pulmonary complications.

Study context

Population
Adults undergoing cardiac surgery with cardiopulmonary bypass (CPB), all receiving lung-protective ventilation
Participants
1,364 adults
Comparison
Volume-controlled ventilation (VCV) vs pressure-controlled ventilation (PCV) vs pressure-controlled ventilation-volume guaranteed (PCV-VG) during CPB cardiac surgery
  • PCV-VGn = 455
Primary endpoint
Composite of PPCs
Follow-up
First 7 postoperative days
Methodological detailssingle-centre, prospective
  • Single-centre
  • Prospective

Primary result

As reported in the abstract

P = 0.585

Further findings

Severity grade of postoperative pulmonary complications (PPCs) within 7 days, postoperative ventilation duration, ICU stay, postoperative hospital stay, 30-day mortality

No significant differences among groups

Original publication

Effect of Mechanical Ventilation Mode Type on Postoperative Pulmonary Complications After Cardiac Surgery: A Randomized Controlled Trial. J Cardiothorac Vasc Anesth. Published 19 November 2023. doi:10.1053/j.jvca.2023.11.024

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