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http://hdl.handle.net/2445/204330
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DC Field | Value | Language |
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dc.contributor.author | Rivas Ferreira, Eva | - |
dc.contributor.author | Cohen, Barak | - |
dc.contributor.author | Saasouh, Wael | - |
dc.contributor.author | Mao, Guangmei | - |
dc.contributor.author | Yalcin, Esra K. | - |
dc.contributor.author | Rodríguez Patarroyo, Fabio | - |
dc.contributor.author | Ruetzler, Kurt | - |
dc.contributor.author | Turan, Alparslan | - |
dc.date.accessioned | 2023-12-11T11:34:31Z | - |
dc.date.available | 2023-12-11T11:34:31Z | - |
dc.date.issued | 2023-02-01 | - |
dc.identifier.issn | 1873-4529 | - |
dc.identifier.uri | http://hdl.handle.net/2445/204330 | - |
dc.description.abstract | Objective: To evaluate the association between early postoperative hypoventilation in the last hour of the post -anesthesia care unit (PACU) stay and hypoventilation during the rest of the first 48 postoperative hours in the surgical ward. Design: Sub-analysis of a clinical trial. Setting: PACU and surgical wards of a single medical center. Patients: Adults having abdominal surgery under general anesthesia. Interventions: Monitoring with a respiratory volume monitor from admission to PACU until the earlier of 48 h after surgery or discharge. Measurements: The exposure was having at least one low minute-ventilation (MV) event during the last hour of PACU stay, defined as MV lower than 40% the predicted value lasting at least 1 min. The primary outcome was low MV events lasting at least 2 min during the rest of the first 48 postoperative hours, while in the surgical ward. The secondary outcome was the rate of low MV events per monitored hour. Main results: Data of 292 patients were analyzed, of which 20 (6.8%) patients had a low MV event in PACU. Low MV events in the surgical ward were found in 81 (28%) patients. All patients who had low MV events in PACU had events again in the ward, while 61/272 (22%) had an event in the ward but not in PACU. The incidence rate of low MV events per hour was 24 (95% CI: 13, 46) among patients having an event in the PACU, and 2 (1, 4) among those who did not. Conclusions: In adults recovering from abdominal surgery, events of hypoventilation during the first post-operative hour are associated with similar events during the rest of the first 48 postoperative hours, with positive predictive value approaching 100%. Sixty-one patients had ward hypoventilation that was not preceded by hypoventilation in PACU. | - |
dc.format.extent | 20 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | ca |
dc.relation.isformatof | Versió postprint del document publicat a: https://doi.org/10.1016/j.jclinane.2022.110989 | - |
dc.relation.ispartof | Journal Of Clinical Anesthesia, 2023, vol. 84 | - |
dc.relation.uri | https://doi.org/10.1016/j.jclinane.2022.110989 | - |
dc.rights | (c) Elsevier, 2022 | - |
dc.source | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) | - |
dc.subject.classification | Període postoperatori | - |
dc.subject.classification | Respiració | - |
dc.subject.other | Postoperative period | - |
dc.subject.other | Respiration | - |
dc.title | Hypoventilation in the PACU is associated with hypoventilation in the surgical ward: Post-hoc analysis of a randomized clinical trial | ca |
dc.type | info:eu-repo/semantics/article | ca |
dc.type | info:eu-repo/semantics/acceptedVersion | - |
dc.date.updated | 2023-12-01T12:57:25Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.idimarina | 9332259 | - |
dc.identifier.pmid | 36370589 | - |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) |
Files in This Item:
File | Description | Size | Format | |
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Hypoventilation manuscript main JCA_R1_def.pdf | 191.29 kB | Adobe PDF | View/Open |
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