Cardiothoracic & vascular anesthesia

Intraoperative Factors Associated With Mechanical Ventilation Duration Following Aortic Surgery

J Cardiothorac Vasc AnesthPublished Retrospective observational study

Authors' conclusion

Transfusion volume and pre- to post-CPB changes in driving pressures and end-tidal carbon dioxide are significantly associated with postoperative ventilation duration. Intraoperative mechanical ventilator power is not a significant predictor of mechanical ventilation duration after major aortic surgery.

Study context

Population
Adults undergoing major aortic surgery requiring cardiopulmonary bypass (CPB) at a tertiary, high-volume cardiac surgery referral center
Participants
647 adults
Outcome
Duration of postoperative ventilation (hours)
Methodological detailssingle-centre, mixed-effects regression
  • Single-centre
  • Mixed-effects regression

Main finding

As reported in the abstract

Duration of postoperative mechanical ventilation

β

11.14 (95% CI [4.36, 17.91])

P < 0.001

Normalized transfusion volumes · mixed-effects regression

β

−2.29 (95% CI [−6.48, 1.90])

P = 0.52

Mechanical power · not associated

Patients included

9.0

median · IQR 6.0–14.4 · hours

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Intraoperative Factors Associated With Mechanical Ventilation Duration Following Aortic Surgery. J Cardiothorac Vasc Anesth. Published 15 February 2025. doi:10.1053/j.jvca.2025.02.021

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