Imperial College London
Ben Creagh-Brown

Ben Creagh-Brown

Faculty of Medicine, National Heart & Lung Institute

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

b.creagh-brown08

 
 
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Location

 

Royal BromptonRoyal Brompton Campus

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Summary

 

Publications

Citation

BibTex format

@article{Zieleskiewicz:2021:10.1213/ANE.0000000000004755,
author = {Zieleskiewicz, L and Papinko, M and Lopez, A and Baldovini, A and Fiocchi, D and Meresse, Z and Boussuges, A and Thomas, PA and Berdah, S and Creagh-Brown, B and Bouhemad, B and Futier, E and Resseguier, N and Antonini, F and Duclos, G and Leone, M},
doi = {10.1213/ANE.0000000000004755},
journal = {Anesth Analg},
pages = {172--181},
title = {Lung Ultrasound Findings in the Postanesthesia Care Unit Are Associated With Outcome After Major Surgery: A Prospective Observational Study in a High-Risk Cohort.},
url = {http://dx.doi.org/10.1213/ANE.0000000000004755},
volume = {132},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Postoperative pulmonary complications are associated with increased morbidity. Identifying patients at higher risk for such complications may allow preemptive treatment. METHODS: Patients with an American Society of Anesthesiologists (ASA) score >1 and who were scheduled for major surgery of >2 hours were enrolled in a single-center prospective study. After extubation, lung ultrasound was performed after a median time of 60 minutes by 2 certified anesthesiologists in the postanesthesia care unit after a standardized tracheal extubation. Postoperative pulmonary complications occurring within 8 postoperative days were recorded. The association between lung ultrasound findings and postoperative pulmonary complications was analyzed using logistic regression models. RESULTS: Among the 327 patients included, 69 (19%) developed postoperative pulmonary complications. The lung ultrasound score was higher in the patients who developed postoperative pulmonary complications (12 [7-18] vs 8 [4-12]; P < .001). The odds ratio for pulmonary complications in patients who had a pleural effusion detected by lung ultrasound was 3.7 (95% confidence interval, 1.2-11.7). The hospital death rate was also higher in patients with pleural effusions (22% vs 1.3%; P < .001). Patients with pulmonary consolidations on lung ultrasound had a higher risk of postoperative mechanical ventilation (17% vs 5.1%; P = .001). In all patients, the area under the curve for predicting postoperative pulmonary complications was 0.64 (95% confidence interval, 0.57-0.71). CONCLUSIONS: When lung ultrasound is performed precociously <2 hours after extubation, detection of immediate postoperative alveolar consolidation and pleural effusion by lung ultrasound is associated with postoperative pulmonary complications and morbi-mortality. Further study is needed to determine the effect of ultrasound-guided intervention for patients at high risk of postoperative pulmonary complications.
AU  - Zieleskiewicz,L
AU  - Papinko,M
AU  - Lopez,A
AU  - Baldovini,A
AU  - Fiocchi,D
AU  - Meresse,Z
AU  - Boussuges,A
AU  - Thomas,PA
AU  - Berdah,S
AU  - Creagh-Brown,B
AU  - Bouhemad,B
AU  - Futier,E
AU  - Resseguier,N
AU  - Antonini,F
AU  - Duclos,G
AU  - Leone,M
DO  - 10.1213/ANE.0000000000004755
EP  - 181
PY  - 2021///
SP  - 172
TI  - Lung Ultrasound Findings in the Postanesthesia Care Unit Are Associated With Outcome After Major Surgery: A Prospective Observational Study in a High-Risk Cohort.
T2  - Anesth Analg
UR  - http://dx.doi.org/10.1213/ANE.0000000000004755
UR  - https://www.ncbi.nlm.nih.gov/pubmed/32224722
VL  - 132
ER  -
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