Cardiothoracic & vascular anesthesia
Regional Anesthesia for Lobectomy and Risk of Pulmonary Complications: A National Safety Quality Improvement Program Propensity-Matching Analysis
Authors' conclusion
The RA techniques were not associated with a lower incidence of pulmonary complications in lobectomy surgery.
Study context
- Population
- Adults undergoing lobectomy by video-assisted thoracoscopic surgery (VATS) or open thoracotomy, ACS NSQIP, 2014–20174,134 VATS
- Exposure
- General anesthesia (GA) plus regional anesthetic (RA) vs GA alone
- Outcome
- Composite postoperative pulmonary complication (PPC):
- Pneumonia
- Reintubation
- Failure to wean from the ventilator
Methodological detailspropensity-matched, national registry (ACS NSQIP)
- Propensity-matched
- National registry (ACS NSQIP)
Main finding
As reported in the abstract
Composite PPC by surgical approach (subgroup)
RA+GA vs GAOdds ratio (95% CI)P value
VATS (2,067 vs 2,067)
1.07(0.81–1.43)
P = 0.622Thoracotomy (1,556 vs 1,556)
1.19(0.93–1.51)
P = 0.174Observational data: associations, not effects.
Further findings
Readmission, LOS and mortality · 30 days
- No statistically significant difference between groups
Original publication
Regional Anesthesia for Lobectomy and Risk of Pulmonary Complications: A National Safety Quality Improvement Program Propensity-Matching Analysis. J Cardiothorac Vasc Anesth. Published 11 December 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →