Abstract:
BACKGROUND:Intraoperative use of positive end-expiratory pressure (PEEP) has a protective effect in patients with acute lung injury and is recommended during anesthesia to minimize postoperative pulmonary complications. However, high levels of pressure might also cause harm to the lung because of overdistension. This retrospective study was designed to compare the effect of low and high levels of PEEP on the risk of postoperative pulmonary complications in patients with normal lung function who were undergoing an elective craniotomy. METHODS:Two thousand four hundred thirty-seven patients without any pre-existing respiratory disease, who underwent an elective craniotomy, were hospitalized from January 1, 2008, to December 31, 2012. The patients were divided into 2 groups according to the application of an intraoperative PEEP < 5 or ≥ 5 cm H2O, referred as low and high groups. Primary outcome was the odds of postoperative pneumonia and the requirement for either noninvasive ventilation (NIV) or reintubation and mechanical ventilation (MV). RESULTS:One thousand twenty-three (42%) of 2437 patients were in the low group, and 1414 patients (58%) were in the high group. Patients in the low group did not show any difference in the incidence of postoperative pneumonia (P = 0.523) or the requirement of postoperative reintubation and MV (P = 0.999) compared with those in the high group. The incidence of reintubation and MV is significantly associated with postoperative pneumonia (P < 0.001). CONCLUSIONS:Low and high levels of PEEP show similar incidences of postoperative pneumonia and requirement of postoperative NIV or invasive MV in patients with normal function of the lungs undergoing elective craniotomy.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Su Z,Liu S,Oto J,Chenelle CT,Sulemanji D,Kacmarek RM,Jiang Ydoi
10.1016/j.wneu.2017.12.014subject
Has Abstractpub_date
2018-04-01 00:00:00pages
e39-e49eissn
1878-8750issn
1878-8769pii
S1878-8750(17)32130-7journal_volume
112pub_type
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journal_title:World neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.wneu.2016.03.099
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Various surgical routes have been used to decompress the intracanalicular optic nerve. Historically, a transcranial corridor was used, but more recently, ventral approaches (endonasal and/or transorbital) have been proposed, individually or in combination. The present study aims to detail and q...
journal_title:World neurosurgery
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abstract:OBJECTIVE:To evaluate the accessibility of educational and recruitment content of Neurosurgery Residency Websites (NRWs). METHODS:Program lists from the Fellowship and Residency Electronic Interactive Database (FREIDA), Electronic Residency Application Service (ERAS), and the American Association of Neurological Surge...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2015.04.051
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Pseudoarthrosis after spinal fusion is an important cause of pain, neurologic decline, and reoperation. METHODS:The Healthcare Cost and Utilization Project State Inpatient Databases were queried in New York, California, Florida, and Washington for adult patients who had undergone new spinal fusion from 2009...
journal_title:World neurosurgery
pub_type: 杂志文章
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
doi:10.1016/j.wneu.2017.03.125
更新日期:2017-06-01 00:00:00
abstract::This paper explores the clinical effect of midazolam as an adjuvant analgesic and tranquilizer after brachial plexus block anaesthesia with the aid of medical imaging. The paper selected 106 patients who underwent elective unilateral upper extremity surgery from January 2017 to December 2019, and randomly divided them...
journal_title:World neurosurgery
pub_type: 杂志文章
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abstract:BACKGROUND:Pituitary apoplexy is a rare complication of the initial administration of leuprolide acetate. CASE DESCRIPTION:We present the case of a 63-year-old man who experienced headache, blurred vision, and loss of consciousness after initial leuprolide treatment for prostate carcinoma. Neuroimaging showed pituitar...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2016.08.091
更新日期:2016-11-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2019-09-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.05.026
更新日期:2017-08-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
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更新日期:2017-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-02-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2012-07-01 00:00:00
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更新日期:2021-01-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.06.157
更新日期:2018-10-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2015.10.051
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pub_type: 杂志文章
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journal_title:World neurosurgery
pub_type:
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pub_type: 杂志文章,多中心研究
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更新日期:2018-04-01 00:00:00
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更新日期:2020-03-01 00:00:00
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journal_title:World neurosurgery
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2015.08.071
更新日期:2016-02-01 00:00:00
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更新日期:2019-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-05-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
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更新日期:2017-05-01 00:00:00
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更新日期:2018-11-01 00:00:00