Predictors of post-pneumonectomy respiratory failure and ARDS: usefulness of normalized pulmonary artery diameter
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Major respiratory complications occur in 10–20% of pneumonectomies with frequent progression to acute respiratory distress syndrome (ARDS) [1, 2]. Some studies have addressed risk factors for postoperative respiratory failure and ARDS [1, 2, 3]: although the role of intraoperative non-protective ventilation and non-restrictive fluid administration has been proved , patient-related factors remain a matter of debate [1, 2, 3, 4]. We aimed to evaluate the relationship between preoperative pulmonary artery diameter and occurrence of post-pneumonectomy respiratory failure and ARDS.
In this single-institution retrospective study (January 2007–June 2012), we reviewed data from all consecutive patients undergoing pneumonectomy for non-small cell lung cancer (NSCLC) whose preoperative computed scan was available in the picture archive and communication system (PACS) of the hospital. Institutional review board approval was obtained (CERC-SFCTCV-2015-11-4-13-16-16-16AlMa/CPP HUPC).
KeywordsLung cancer Surgery Pneumonectomy Pulmonary artery Outcome
Conception of the study: MA; CT measurements: RH; data collection: MP, KB; data analysis: MA, ML, NR; writing of the manuscript: MA, ML, NR.
Compliance with ethical standards
Conflicts of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
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