Perioperative medicine & outcomes

Respiratory Exchange Ratio guided management in high-risk noncardiac surgery: The OPHIQUE multicentre randomised controlled trial

Anaesth Crit Care Pain MedPublished Randomised controlled trial

Primary resultResult — go to the resultRelative risk 0.93 95% CI 0.75–1.17

Authors' conclusion

In high-risk surgery, a goal-directed therapy algorithm integrating the measurement of the respiratory-exchange ratio did not reduce a composite outcome of major postoperative complications or death within seven days after surgery compared to routine care.

Study context

Population
Patients at high risk of postoperative complications undergoing high-risk noncardiac surgery lasting 2 h or longer under GAenrolled
Participants
350 patients
Comparison
Interventional vs Control
Primary endpoint
Composite of:
  • Major complications
  • Death
Follow-up
Within seven days of surgery
Methodological detailsmulticentre, Four university medical centres and one non-university hospital, December 26, 2018, to September 9, 2021
  • Multicentre
  • Four university medical centres and one non-university hospital, December 26, 2018, to September 9, 2021

Primary result

As reported in the abstract

Relative risk

0.93

95% CI 0.75–1.17

P = 0.55

Events by treatment group

Interventional vs Control
RR 0.93 (95% CI 0.75–1.17); P = 0.55

Secondary outcomes

Hospital LOS, 30-day mortality, total intraoperative fluid volume

No clinically relevant differences between the two groups

Original publication

Respiratory Exchange Ratio guided management in high-risk noncardiac surgery: The OPHIQUE multicentre randomised controlled trial. Anaesth Crit Care Pain Med. Published 21 March 2023. doi:10.1016/j.accpm.2023.101221

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