Variability in the Use of Protective Mechanical Ventilation During General Anesthesia.

ABSTRACT:

Background

The purpose of this study was to determine whether significant variation exists in the use of protective ventilation across individual anesthesia providers and whether this difference can be explained by patient, procedure, and provider-related characteristics.

Methods

The cohort consisted of 262 anesthesia providers treating 57,372 patients at a tertiary care hospital between 2007 and 2014. Protective ventilation was defined as a median positive end-expiratory pressure of 5 cm H2O or more, tidal volume of <10 mL/kg of predicted body weight and plateau pressure of <30 cm H2O. Analysis was performed using mixed-effects logistic regression models with propensity scores to adjust for covariates. The definition of protective ventilation was modified in sensitivity ana

SUBMITTER: Ladha KS 

PROVIDER: S-EPMC6696999 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature