The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.
Risk Factors for Acute Lung Injury After Thoracic Surgery for Lung Cancer
Open accessAbstract
UNLABELLED: Acute lung injury (ALI) may complicate thoracic surgery and is a major contributor to postoperative mortality. We analyzed risk factors for ALI in a cohort of 879 consecutive patients who underwent pulmonary resections for non-small cell lung carcinoma. Clinical, anesthetic, surgical, radiological, biochemical, and histopathologic data were prospectively collected. The total incidence of ALI was 4.2% (n = 37). In 10 cases, intercurrent complications (bronchopneumonia, n = 5; bronchopulmonary fistula, n = 2; gastric aspiration, n = 2; thromboembolism, n = 1) triggered the onset of ALI 3 to 12 days after surgery, and this was associated with a 60% mortality rate (secondary ALI). In the remaining 27 patients, no clinical adverse event preceded the development of ALI-0 to 3 days after surgery-that was associated with a 26% mortality rate (primary ALI). Four independent risk factors for primary ALI were identified: high intraoperative ventilatory pressure index (odds ratio, 3.5; 95% confidence interval, 1.7-8.4), excessive fluid infusion (odds ratio, 2.9; 95% confidence interval, 1.9-7.4), pneumonectomy (odds ratio, 2.8; 95% confidence interval, 1.4-6.3), and preoperative alcohol abuse (odds ratio, 1.9; 95% confidence interval, 1.1-4.6). In conclusion, we describe two clinical forms of post-thoracotomy ALI: 1). delayed-onset ALI triggered by intercurrent complications and 2). an early form of ALI amenable to risk-reducing strategies, including preoperative alcohol abstinence, lung-protective ventilatory modes, and limited fluid intake. IMPLICATIONS: In an observational study including all patients undergoing lung surgery, we describe two clinical forms of acute lung injury (ALI): a delayed-onset form triggered by intercurrent complications and an early form associated with preoperative alcohol consumption, pneumonectomy, high intraoperative pressure index, and excessive fluid intake over the first 24 h.
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Cites
(2000) · New England Journal of Medicine · doi:10.1056/nejm200005043421801 · Cited by 12,941
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Mountain, C. F. (1997) · Chest · doi:10.1378/chest.111.6.1710 · Cited by 4,565
Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome.
Amato, M. B. P., Barbas, C. S. V., Medeiros, D. M., Magaldi, R. B., Schettino, G. P., Lorenzi-Filho, G., Kairalla, R. A., Deheinzelin, D., Munoz, C., Oliveira, R., et al. (1998) · New England Journal of Medicine · doi:10.1056/nejm199802053380602 · Cited by 3,654
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Invited Review: Mechanisms of ventilator-induced lung injury: a perspective
Dos Santos, C. C., & Slutsky, A. S. (2000) · Journal of Applied Physiology · doi:10.1152/jappl.2000.89.4.1645 · Cited by 458
Noninvasive Ventilation Reduces Mortality in Acute Respiratory Failure following Lung Resection
AURIANT, I., JALLOT, A., HERVÉ, P., CERRINA, J., LE ROY LADURIE, F., FOURNIER, J. L., LESCOT, B., & PARQUIN, F. (2001) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.164.7.2101089 · Cited by 457
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Preoperative alcoholism and postoperative morbidity
Tønnesen, H., & Kehlet, H. (1999) · Journal of British Surgery · doi:10.1046/j.1365-2168.1999.01181.x · Cited by 284
MEADE, M. O., COOK, R. J., GUYATT, G. H., GROLL, R., KACHURA, J. R., BEDARD, M., COOK, D. J., SLUTSKY, A. S., & STEWART, T. E. (2000) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.161.1.9809003 · Cited by 280
Cited by
Batchelor, T. J. P., Rasburn, N. J., Abdelnour-Berchtold, E., Brunelli, A., Cerfolio, R. J., Gonzalez, M., Ljungqvist, O., Petersen, R. H., Popescu, W. M., Slinger, P. D., et al. (2019) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezy301 · Cited by 1,366
Michelet, P., D’Journo, X.-B., Roch, A., Doddoli, C., Marin, V., Papazian, L., Decamps, I., Bregeon, F., Thomas, P., & Auffray, J.-P. (2006) · Anesthesiology · doi:10.1097/00000542-200611000-00011 · Cited by 400
Intraoperative Tidal Volume as a Risk Factor for Respiratory Failure after Pneumonectomy
Fernández-Pérez, E. R., Keegan, M. T., Brown, D. R., Hubmayr, R. D., & Gajic, O. (2006) · Anesthesiology · doi:10.1097/00000542-200607000-00007 · Cited by 306
Epidemiology of Sepsis: Race, Sex, and Chronic Alcohol Abuse
Moss, M. (2005) · Clinical Infectious Diseases · doi:10.1086/432003 · Cited by 157
Metadata
- Authors
- Licker, M., de Perrot, M., Spiliopoulos, A., Robert, J., Diaper, J., Chevalley, C., & Tschopp, J.-M.
- Venue
- Anesthesia & Analgesia
- Published
- 2003-12
- Volume
- 97
- Issue
- 6
- Pages
- 1558-1565
- ISSN
- 0003-2999 (ISSN-L)
- OpenAlex
- W1977248065
- Cited by
- 468
- References
- 33
- FWCI
- 8.09
- Type
- journal article
- Language
- en
- Open access
- green
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