Risk Factors of Jeon et al for Acute Lung Injury Following Pneumonectomy for Primary Lung Cancer

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Jeon et al reported risk factors for acute lung injury and acute respiratory distress after pneumonectomy performed for primary lung cancer. These can help to identify a patient who may benefit from more aggressive management. The authors are from Samsung Medical Center and Sungkyunkwan University in Seoul.

Patient selection: status post pneumonectomy for primary lung cancer

Outcome: acute lung injury/acute respiratory distress syndrome (ARDS)

Occurrence: within 1 week of surgery in 12% of patients enrolled in the study

Risk factors from the multivariate analysis:

(1) larger tidal volume during one lung ventilation (odds ratio 3.4), in mL per kg body weight

(2) higher airway pressure during one lung ventilation (odds ratio 2.3), in cm water

	ALI/ARDS	no ALI/ARDS
tidal volume	8.2 (7.5 to 9.0) ml/kg	7.7 (6.9 to 8.2) ml/kg
airway pressure	28.9 (27.6 to 30.0) cm H2O	27.2 (25.6 to 28.5) cm H2O

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Risk Factors of Jeon et al for Acute Lung Injury Following Pneumonectomy for Primary Lung Cancer

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