Anesthesia, General, Bypass, Cardiopulmonary, Respiration, Artificial, Respiratory Complication
Conditions
Keywords
Postoperative pulmonary complications, Protective mechanical ventilation, Alveolar lung recruitment manoeuvres, Cardiac Surgery Procedures
Brief summary
The purpose of this study is to evaluate prospectively ventilatory practices in the perioperative cardiac surgery period.
Detailed description
This is a International Multicentre Observational Trial on all adult cardiac surgery patients with cardiopulmonary bypass (CPB).
Interventions
An anonymised questionnaire will be answered for each includable consecutive patient after verifying the absence of exclusion criteria.
Sponsors
Study design
Eligibility
Inclusion criteria
* All consecutive cardiac surgery patients with CPB during one predefined period, * Elective or urgent surgery as defined by EuroSCORE2.
Exclusion criteria
* Refusal of consent, * Pregnant women, * Age \< 18 years, * Heart transplant, ECLS, ventricular assist * Emergency or salvage surgery as defined by EuroSCORE2
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence of use prophylactic protective mechanical ventilation defined with with low tidal volume (6 to 8 ml / kg based on the ideal body weight) | 1 day | percent |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| incidence of using positive end-expiratory pressure | 1 day | (PEEP)\> 5 cmH2O |
| incidence of using at least 2 alveolar lung recruitment manoeuvres | 1 day | percent |
| incidence of using a protective ventilation bundle combining prophylactic protective mechanical ventilation and at least 2 alveolar recruitment manoeuvres | 1 day | percent |
| incidence of postoperative pulmonary complications | 1 month postoperatively | percent |
Countries
Belgium, Brazil, Czechia, France, Germany, Italy, Japan, Netherlands, Norway, Poland