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BIBTEX RIS

Ventilation and outcomes following robotic-assisted abdominal surgery: an international, multicentre observational study

2020; Elsevier BV; Volume: 126; Issue: 2 Linguagem: Inglês

10.1016/j.bja.2020.08.058

1471-6771

Veronica N.F. Queiroz, Luis Guilherme V. da Costa, Flávio Takaoka, Paolo Pelosi, Marcelo Gama de Abreu, Marcus J. Schultz, Ary Serpa Neto, Rogerio Póvoa Barbosa, Jaume Canet, Juan P. Cata, Daniel S César, R.C.F. Chaves, Ulisses Cardoso D’Orto, Luiz Guilherme Villares da Costa, L. De Baerdemaeker, José Roberto Galdi, Marcelo Gama de Abreu, V. Gottumukkala, Sabrine N.T. Hemmes, Markus W. Hollmann, Alain F. Kalmar, Renato Mariano, Idit Matot, Guido Mazzinari, Gary Mills, Paolo Pelosi, I.P. Posso, Verônica Neves Fialho Queiroz, Marcus J. Schultz, Ary Serpa Neto, Juraj Šprung, Flávio Takaoka, Alexandre Teruya, Marcos F. Vidal Melo, Aalok V. Agarwala, Louise Akeroyd, F Andorlini, Lisa Anicetti, Massimo Antonelli, Bruno S. Arantes, J.J. Ariño Irujo, Hanna Artsi, Renata Babian, Rogerio Póvoa Barbosa, D Barker, Diletta Basagni, Nicola Basso, Joan Beltrán, V. Bocciero, Giulia Bonatti, Ernesto Boriati, Mauro Bravo, Luca Brazzi, Chris Brearton, Andrew Brennan, Adam M. Bulinski, Sara Cafagna, Andrea Cardoni, Paula Castelló Mora, Juan P. Cata, Daniel S César, Renato Carneiro de Freitas Chaves, Lee‐lynn Chen, Srikanth Chukkambotla, Alessandra Ciccozzi, Danae Cilia, Sean Cope, Ulisses Cardoso D’Orto, Luis Guilherme V. Da Costa, Claire Dalton, Alessandra Davi, Marina del Barrio De Bonis, Angelo Raffaele De Gaudio, Lucilla De Luca, Carlos Delgado, Atousa Deljou, Cecilia Di Ruscio, Sijgje M. Droger, Stephen Duberley, Leonid A. Eidelman, Alison Evans, Constanza Fabiani, Umberto Fasciano, Jennifer Firth-Gieben, Jillian Fitchett, Angela Fundarò, José Roberto Galdi, Verdiana Gallo, Mattia Gavagni, Vijaya Gottumukkala, Chris Graham, Manuel Granell, Angelo Gratarola, Chiara Grillandini, Harald-Thomas Groeben, Nesrine Ben Ismail, Reni Jacob, Chris Jones, Rebecca Jones, Alain F. Kalmar, Ritoo Kapoor, Leigh Kelliher, Wiebke Köhne, J. S. H. A. Koopman, Prasad Lanka, Jae Woo Lee, B. Liban, Francesca Livi, Renato Mariano, Ruth Martínez Plumed, Idit Matot, Marta Mazzella, Stewart McClure, Martina McMonagle, Gary Mills, Lucia Mirabella, Concepción Monsalve, Angela Moon, Laura Morchio, Frances Morris, Lorenzo Motroni, Benedetta Mura, Alessandro Nerini, Elodia C. Noumedem Sonna, Neil Oakes, Marina Orlandi, Antonella Paladini, Anita Patil, Vishal Patil, Valentina Patrone, Paolo Pelosi, Angela Pinder, Alba Piroli, Irimar P. Posso, Veronica N.F. Queiroz, Yosef S. Rabbu, Robert Rabenalt, Stefano Romagnoli, Ariel Ronen, F. G. Rothman, Patrick Rusagara, Andrea Russo, Moldovan Sabov, Thomas Saitta, Ary Serpa Neto, Nirav Shah, Neil Smith, Liliana Sollazzi, Juraj Šprung, Emma L. Stewart, Elizabeth Stones, Kim Storton, Flávio Takaoka, Beatriz Tena, Eleonora Terreni, Alexandre Teruya, Chiara Travaglia, Tanja A. Treschan, Henk Vanoverschelde, Harish Venkatesh, Marcos F. Vidal Melo, Gianluca Villa, Robbert Vossen, Stephen Webber, Toby N. Weingarten, Matt Willcocks, Luke Winslow, Lindsey Woods,

Surgical Simulation and Training

International data on the epidemiology, ventilation practice, and outcomes in patients undergoing abdominal robotic-assisted surgery (RAS) are lacking. The aim of the study was to assess the incidence of postoperative pulmonary complications (PPCs), and to describe ventilator management after abdominal RAS.This was an international, multicentre, prospective study in 34 centres in nine countries. Patients ≥18 yr of age undergoing abdominal RAS were enrolled between April 2017 and March 2019. The Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) score was used to stratify for higher risk of PPCs (≥26). The primary outcome was the incidence of PPCs. Secondary endpoints included the preoperative risk for PPCs and ventilator management.Of 1167 subjects screened, 905 abdominal RAS patients were included. Overall, 590 (65.2%) patients were at increased risk for PPCs. Meanwhile, 172 (19%) patients sustained PPCs, which occurred more frequently in 132 (22.4%) patients at increased risk, compared with 40 (12.7%) patients at lower risk of PPCs (absolute risk difference: 12.2% [95% confidence intervals (CI), 6.8-17.6%]; P<0.001). Plateau and driving pressures were higher in patients at increased risk, compared with patients at low risk of PPCs, but no ventilatory variables were independently associated with increased occurrence of PPCs. Development of PPCs was associated with a longer hospital stay.One in five patients developed one or more PPCs (chiefly unplanned oxygen requirement), which was associated with a longer hospital stay. No ventilatory variables were independently associated with PPCs.NCT02989415.