Perioperative risk factors in elective pneumonectomy: the impact of excess fluid balance

European Journal of Anaesthesiology
A M MøllerA Engquist

Abstract

This study was performed to identify risk factors for complications and in-hospital mortality associated with pneumonectomy. The influence of fluid balance during anaesthesia was evaluated, taking into account the patient's age, gender and body mass index, smoking habits, history of pulmonary or cardiac disorders, the site of pneumonectomy and duration of anaesthesia. One-hundred-and-seven patients undergoing elective pneumonectomy were included in the study. A total of 31 patients (29%) suffered from one or more postoperative complications, seven (22.4%) of these had severe dysrhythmias, six (19.6%) had pulmonary complications and three (9.3%) had cardiovascular complications. The overall mortality rate was 10.3%. Based on logistic regression analysis, our data indicate the following risk factors for postoperative complications: positive fluid balance exceeding 4000 mL during anaesthesia (pulmonary complications and mortality), body mass index < 17 or > 25 kg m(-2) (severe dysrhythmias), or history of chronic heart disease (pulmonary complications). Thirteen patients (12.4%) suffered from a fluid balance > 4000 mL during anaesthesia. Regression analysis indicated that fluid balance exceeding 4000 mL was associated with a highe...Continue Reading

References

Jul 1, 1992·The Annals of Thoracic Surgery·R L PatelS W Fountain
Jan 1, 1991·Anesthesiology·J L RobothamY Harasawa
Jul 1, 1989·The Annals of Thoracic Surgery·R WahiJ A Roth
Apr 1, 1967·Archives of Surgery·G A Higgins, G W Beebe
Aug 1, 1983·Critical Care Medicine·S SinghR W Carlson
Jun 1, 1965·Diseases of the Chest·M C LARSEN, E E CLIFFTON
Oct 3, 2006·Current Opinion in Anaesthesiology·P Slinger

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Citations

Apr 16, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Pierre Antoine Fuentes
Jul 16, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Ayse A ArikanLaura L Loftis
Sep 29, 2011·Critical Care : the Official Journal of the Critical Care Forum·Suzana M LoboFrancisco R Lobo
Oct 1, 2011·The Annals of Thoracic Surgery·Randal S BlankJames M Jaeger
Oct 2, 2007·Journal of Cardiothoracic and Vascular Anesthesia·Timothy A JacksonPeter Slinger
Aug 6, 2009·Best Practice & Research. Clinical Anaesthesiology·Christian ErtmerMartin Westphal
Nov 6, 2012·Anaesthesia·N L JonesA A Klein
Mar 19, 2014·Acta Anaesthesiologica Scandinavica·T B EngerV Videm
Nov 4, 2006·Best Practice & Research. Clinical Anaesthesiology·Dileep N LoboSimon P Allison
Jul 21, 2006·Best Practice & Research. Clinical Anaesthesiology·Birgitte Brandstrup
Dec 27, 2013·Mediators of Inflammation·Letizia MezzasomaVincenzo Nicola Talesa
Jun 13, 2015·BMC Anesthesiology·Lars Stryhn BjerregaardJens Christian Nilsson
Aug 12, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Tanyong PipanmekapornTheerada Chandee
Oct 6, 2006·Current Opinion in Anaesthesiology·Giorgio Della Rocca, Maria Gabriella Costa
Jul 30, 2014·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·J Tolstrup, B Brandstrup
Mar 24, 2005·World Journal of Gastroenterology : WJG·Yong-Sheng ShaoZhuo-Yong Quan
Oct 28, 2009·Current Opinion in Anaesthesiology·James M McKevith, Stephen H Pennefather
Dec 8, 2004·Seminars in Cardiothoracic and Vascular Anesthesia·Katherine P Grichnik, Thomas A D'Amico
Nov 25, 2003·Anesthesia and Analgesia·Marc LickerJean-Marie Tschopp
Nov 4, 2008·The Medical Journal of Australia·Andrew K HiltonCarlos D Scheinkestel
May 6, 2008·Anesthesiology Clinics·Ju-Mei Ng

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