ArticleJTCVS techniques2026
Variation in and deviation from protective ventilation during lung surgery.
Article in JTCVS techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Background: One-lung ventilation (OLV) is used for most lung resections. Protective ventilation strategies aim to limit volutrauma, atelectrauma, and barotrauma to reduce postoperative pulmonary complications (PPCs). We aimed to describe patterns in ventilatory strategies used during OLV, identify factors that affect these strategies, and investigate their relationship with PPCs. Methods: Consecutive eligible patients undergoing lung surgery at a tertiary thoracic center were enrolled in this prospective cohort study. Real-time data capture of intraoperative ventilation parameters was performed. Complications were assessed prospectively using the validated Ottawa Thoracic Morbidity and Mortality classification system. Univariate statistics were described regarding adherence to low tidal volume (V Results: A total of 225 patients were included. The median V Conclusions: Adherence to lung-protective ventilation recommendations was low. Higher peak inspiratory pressure is associated with PPCs, supporting barotrauma during OLV as a culprit. This is a target for quality assessment and knowledge translation efforts.
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