What is it about?
Limited information is available regarding intraoperative ventilator settings and the incidence of postoperative pulmonary complications (PPCs) in patients undergoing neurosurgical procedures. The aim of this post-hoc analysis of the ‘Multicentre Local ASsessment of VEntilatory management during General Anaesthesia for Surgery’ (LAS VEGAS) study was to examine the ventilator settings of patients undergoing neurosurgical procedures, and to explore the association between perioperative variables and the development of PPCs in neurosurgical patients.
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Why is it important?
Neurosurgical patients are ventilated with low VT and low PEEP, while recruitment manoeuvres are seldom applied. Intraoperative ventilator settings are not associated with PPCsc
Perspectives
I hope this article makes what people might think is a boring, slightly abstract area like health economics and measuring things like health, kind of interesting and maybe even exciting. Because the way we spend money on health and social care is not just a problem for politicians, managers and researchers to worry about - it is an issue that touches every single human being on this planet in one way or another. More than anything else, and if nothing else, I hope you find this article thought-provoking.
Dr SAMIR AHMED Ahmed ELKAFRAWY
ElSahel Teaching Hospital, Cairo, Egypt
Read the Original
This page is a summary of: Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients: post-hoc analysis of LAS VEGAS study, BMC Anesthesiology, April 2020, Springer Science + Business Media,
DOI: 10.1186/s12871-020-00988-x.
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