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Risk Factors of Sen et al for ARDS Following Lung Resection

Description

Sen et al identified risk factors for postoperative adult respiratory dysfunction syndrome (ARDS) following lung resection surgery. These can help to identify a patient who may benefit from more aggressive management. The authors are from Adrian Menderes University in Aydin, Turkey.


Patient selection: thoracic surgery with lung resection, ASA from 1 to 3

 

Outcome: postoperative ARDS (acute hypoxemia with radiographic pulmonary infiltrates without a clearly identifiable cause). This was associated with continuation of mechanical ventilation for > 48 hours after surgery or the need to reintubate with mechanical ventilation.

 

Risk factors for ARDS:

(1) alcohol abuse (odds ratio 40)

(2) ASA score (odds ratio 1257): ASA 3 > ASA 2 > ASA 1

(3) resection type (odds ratio 29): pneumonectomy or lobectomy vs sublobar resection

(4) intraoperative transfusion of fresh frozen plasma (FFP, odds ratio 1.4)

 

where:

• The number of units of FFP transfused was not specified.

• The odds ratios for resection type and FFP are reverse in the abstract and Table 4.


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