Rationale and Study Design for an Individualized Perioperative Open Lung Ventilatory Strategy in Patients on One-Lung Ventilation (iPROVE-OLV)
| العنوان: | Rationale and Study Design for an Individualized Perioperative Open Lung Ventilatory Strategy in Patients on One-Lung Ventilation (iPROVE-OLV) |
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| المؤلفون: | Carraminana, A, Ferrando, C, Unzueta, MC, Navarro, R, Suarez-Sipmann, F, Tusman, G, Garutti, I, Soro, M, Pozo, N, Librero, J, Gallego, L, Ramasco, F, Rabanal, JM, Rodriguez, A, Sastre, J, Martinez, J, Coves, S, Garcia, P, Aguirre-Puig, P, Yepes, J, Lluch, A, Lopez-Herrera, D, Leal, S, Vives, M, Bellas, S, Socorro, T, Trespalacios, R, Salazar, CJ, Mugarra, A, Cinnella, G, Spadaro, S, Futier, E, Ferrer, L, Cabrera, M, Ribeiro, H, Celestino, C, Kucur, E, Cervantes, O, Morocho, D, Delphy, D, Ramos, C, Villar, J, Belda, J, Monedero, P, Martinez, S, Comino, O, Coy, A, Armengol, L, Pineiro, P, Cruz, P, Duque, P, de la Gala, FA, Sanchez, G, Olmedilla, L, de la Fuente, E, Erquicia, I, Reyes, A, Lopez, E, Palencia, M, Bunger, B, Ramos, R, Terradillos, E, Almaraz, C, Lujan, LM, Lopez, A, Femenia, F, Botella, S, Cimadevilla, B, Pascual, R, Pardo, S, Gonzalez, M, Lopez, C, Trabanco, S, Zaldibar, E, Barolome, MJ, Pereira, D, Otero, T, Blanco, L, Reparaz, JR, Ceresuela, R, Castellano, P, Martinez, P, Martinez, O, Franco, J, Hernandez, J, Pastor, O, Solera, J, Guerra, E, Dib, ZH, Farina, R, Cabrera, S, Arribas, MP, Sastre, JA, de Celis, I, Pascual, MJ, Garcia-Barberena, B, Arango, E, Amaya, O, Madrid, G, Triana, C, Pabon, S, Diaz, DP, Ortells, F, Perez, B, Aracil, R, Sanchez, R, Acosta, J, de la Matta, M, Gonzalez, D, Mirabella, L, Rauseo, M, Lamanna, A, Volta, CA, Ragazzi, R, Cachapuz, M, Correia, I, Parera, A, Argilaga, M, Azparren, G, Bausili, M, Almajano, R, Aragon, C, Colas, A, Cotera, I, Embun, R, Forcada, P, Garces, C, Gil, F, Gracia, A, Herrero, M, Izquierdo, B, Molinos, I, Munoz, N, Puertolas, M, Quesada, N, Recuero, JL, Royo, I, Romero, B, Rubio, B, Sandin, F, Sanjuan-Villarreal, TA, Visiedo, S, Cordoba, J, Pintor, J, Planas, A, Nieves, JM, Garcia, E, Vallejo, C, Santidrian, S, Rofso, P, Arocas, B, Gutierrez, A, Charco, P, Parra, MJ, Carbonell, JA, Jurado, A, Serralta, F, Sancho, L, Barcena, E, Lascorz, L, Belmonte, L, Cuervo, J, Florea, R, Monleon, B, Perez, S, Garcia, L, Hurtado, L, Pardo, P, Segura, N, Utrera, E, Martin, B, Mellado, P, Arcas, JJ, Martinez, N, Maric, M, Munoz, LE, Gonzalez, RC, Busquets, J, Homs, M, Jimenez, A, Pintanel, T, Martinez, E, Moret, E, Sercakacilar, G, Diaz, M, Souteiro, JT, Benito, A, Cebrian, A, Mestres, G, Mohamed, MI, Yousef, SA, Osman, YM, Moreno, A, Tutillo, A, Pilco, H, Pena, A, Llano, M, Carrillo, E, Salazar, C, Dominguez, D, Espinosa, E, iPROVE-OLV Network |
| المصدر: | JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe |
| بيانات النشر: | W B SAUNDERS CO-ELSEVIER INC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | one-lung ventilation, postoperative pulmonary complications, respiratory system, mechanical ventilation, positive end-expiratory pressure, recruitment maneuvers |
| الوصف: | Objective: The aim of this clinical trial is to examine whether it is possible to reduce postoperative complications using an individualized perioperative ventilatory strategy versus using a standard lung-protective ventilation strategy in patients scheduled for thoracic surgery requiring one-lung ventilation. Design: International, multicenter, prospective, randomized controlled clinical trial. Setting: A network of university hospitals. Participants: The study comprises 1,380 patients scheduled for thoracic surgery. Interventions: The individualized group will receive intraoperative recruitment maneuvers followed by individualized positive end-expiratory pressure (open lung approach) during the intraoperative period plus postoperative ventilatory support with high-flow nasal cannula, whereas the control group will be managed with conventional lung-protective ventilation. Measurements and Main Results: Individual and total number of postoperative complications, including atelectasis, pneumothorax, pleural effusion, pneumonia, acute lung injury; unplanned readmission and reintubation; length of stay and death in the critical care unit and in the hospital will be analyzed for both groups. The authors hypothesize that the intraoperative application of an open lung approach followed by an individual indication of high-flow nasal cannula in the postoperative period will reduce pulmonary complications and length of hospital stay in high-risk surgical patients. (C) 2019 Published by Elsevier Inc. |
| تدمد: | 1053-0770 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=dedup_wf_001::1a2213f81e82947b620dbe9c74c5f917Test https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=2470Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.dedup.wf.001..1a2213f81e82947b620dbe9c74c5f917 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10530770 |
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