Perioperative medicine & outcomes

Effect of ventilation mode on postoperative pulmonary complications among intermediate- to high-risk patients undergoing abdominal surgery: A randomized controlled trial

Anaesth Crit Care Pain MedPublished Randomised controlled trial

Authors' conclusion

In intermediate- to high-risk patients undergoing abdominal surgery, the choice of ventilation mode did not affect the risk of PPCs.

Study context

Population
Adults at intermediate or high risk of postoperative pulmonary complications (PPCs) scheduled for abdominal surgery; lung-protective ventilation in all groups1,349 analysed
Participants
1,365 adults
Comparison
Volume-controlled ventilation (VCV) vs pressure-controlled ventilation (PCV) vs PCV-VG
Primary endpoint
Composite of pulmonary complications
Follow-up
First 7 postoperative days

Primary result

As reported in the abstract

P = 0.865

Secondary outcomes

Pulmonary complications within 30 postoperative days, severity grade of PPCs, other secondary outcomes

No statistically significant differences among the three groups

Original publication

Effect of ventilation mode on postoperative pulmonary complications among intermediate- to high-risk patients undergoing abdominal surgery: A randomized controlled trial. Anaesth Crit Care Pain Med. Published 13 September 2024. doi:10.1016/j.accpm.2024.101423

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