ArticleBMC anesthesiology2011
Intraoperative ventilation: incidence and risk factors for receiving large tidal volumes during general anesthesia.
Article in BMC anesthesiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effect of lung-protective ventilation with lower tidal volumes on clinical outcomes among patients undergoing surgery: a meta-analysis of randomized controlled trials.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2015Pooled it
- Protective mechanical ventilation in the non-injured lung: review and meta-analysis.Critical care (London, England) · 2014Pooled it
- Early effect of tidal volume on lung injury biomarkers in surgical patients with healthy lungs.Anesthesiology · 2014Trial
- Association between tidal volume and mortality in patients without acute respiratory distress syndrome: A systematic review and meta-analysis.Biomedical reports · 2026Article
- The impact of the CERTAIN clinical decision support tool for structured intensive care unit admission and rounding is patient sex-independent: a secondary analysis of CERTAIN.Critical care science · 2025Article
- An anesthesia-centered bundle to reduce postoperative pulmonary complications: The PRIME-AIR study protocol.PloS one · 2023Article
- Article
- Interpretation and use of intraoperative protective ventilation parameters: a scoping review.Anaesthesiology intensive therapy · 2022Article
- Sex Differences in Use of Low Tidal Volume Ventilation in COVID-19-Insights From the PRoVENT-COVID Study.Frontiers in medicine · 2021Article
- Observational
- Recognizing Risks and Optimizing Perioperative Care to Reduce Respiratory Complications in the Pediatric Patient.Journal of clinical medicine · 2020Review
- Risk factors for excessive tidal volumes delivered during intraoperative mechanical ventilation, a retrospective study.International journal of physiology, pathophysiology and pharmacology · 2020Article
- Relationship between height and outcomes among critically ill adults: a cohort study.Intensive care medicine · 2018Article
- Pulmonary Effects of Adjusting Tidal Volume to Actual or Ideal Body Weight in Ventilated Obese Mice.Scientific reports · 2018Article
- Quick reference tidal volume cards reduce the incidence of large tidal volumes during surgery.Journal of anesthesia · 2018Article
- Management of 1-Lung Ventilation-Variation and Trends in Clinical Practice: A Report From the Multicenter Perioperative Outcomes Group.Anesthesia and analgesia · 2018Article
- Interaction between peri-operative blood transfusion, tidal volume, airway pressure and postoperative ARDS: an individual patient data meta-analysis.Annals of translational medicine · 2018Article
- Preventing Ventilator-Associated Lung Injury: A Perioperative Perspective.Frontiers in medicine · 2016Article
- Perioperative lung protective ventilation in obese patients.BMC anesthesiology · 2015Review
- Temporal trends and current practice patterns for intraoperative ventilation at U.S. academic medical centers: a retrospective study.BMC anesthesiology · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a growing concern of the potential injurious role of ventilatory over-distention in patients without lung injury. No formal guidelines exist for intraoperative ventilation settings, but the use of tidal volumes (VT) under 10 mL/kg predicted body weight (PBW) has been recommended in healthy patients. We explored the incidence and risk factors for receiving large tidal volumes (VT > 10 mL/kg PBW).
methodsWe performed a cross-sectional analysis of our prospectively collected perioperative electronic database for current intraoperative ventilation practices and risk factors for receiving large tidal volumes (VT > 10 mL/kg PBW). We included all adults undergoing prolonged (≥ 4 h) elective abdominal surgery and collected demographic, preoperative (comorbidities), intraoperative (i.e. ventilatory settings, fluid administration) and postoperative (outcomes) information. We compared patients receiving exhaled tidal volumes > 10 mL/kg PBW with those that received 8-10 or < 8 mL/kg PBW with univariate and logistic regression analyses.
resultsVentilatory settings were non-uniform in the 429 adults included in the analysis. 17.5% of all patients received VT > 10 mL/kg PBW. 34.0% of all obese patients (body mass index, BMI, ≥ 30), 51% of all patients with a height < 165 cm, and 34.6% of all female patients received VT > 10 mL/kg PBW.
conclusionsVentilation with VT > 10 mL/kg PBW is still common, although poor correlation with PBW suggests it may be unintentional. BMI ≥ 30, female gender and height < 165 cm may predispose to receive large tidal volumes during general anesthesia. Further awareness of patients' height and PBW is needed to improve intraoperative ventilation practices. The impact on clinical outcome needs confirmation.
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