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Intensive Care Medicine

, Volume 44, Issue 8, pp 1357–1359 | Cite as

Predictors of post-pneumonectomy respiratory failure and ARDS: usefulness of normalized pulmonary artery diameter

  • Marine Peretti
  • Remi Hervochon
  • Mauro Loi
  • Kim Blanc
  • Nicolas Roche
  • Marco Alifano
Letter

Dear Editor,

Major respiratory complications occur in 10–20% of pneumonectomies with frequent progression to acute respiratory distress syndrome (ARDS) [1, 2]. Some studies have addressed risk factors for postoperative respiratory failure and ARDS [1, 2, 3]: although the role of intraoperative non-protective ventilation and non-restrictive fluid administration has been proved [3], patient-related factors remain a matter of debate [1, 2, 3, 4]. We aimed to evaluate the relationship between preoperative pulmonary artery diameter and occurrence of post-pneumonectomy respiratory failure and ARDS.

In this single-institution retrospective study (January 2007–June 2012), we reviewed data from all consecutive patients undergoing pneumonectomy for non-small cell lung cancer (NSCLC) whose preoperative computed scan was available in the picture archive and communication system (PACS) of the hospital. Institutional review board approval was obtained (CERC-SFCTCV-2015-11-4-13-16-16-16AlMa/CPP HUPC).

Keywords

Lung cancer Surgery Pneumonectomy Pulmonary artery Outcome 

Notes

Author contributions

Conception of the study: MA; CT measurements: RH; data collection: MP, KB; data analysis: MA, ML, NR; writing of the manuscript: MA, ML, NR.

Compliance with ethical standards

Conflicts of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Supplementary material

134_2018_5206_MOESM1_ESM.doc (46 kb)
Supplementary material 1 (DOC 46 kb)

References

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    The ARDS Definition Task Force (2012) Acute respiratory distress syndrome. The Berlin definition. JAMA 307(23):2526–2533Google Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature and ESICM 2018

Authors and Affiliations

  • Marine Peretti
    • 1
  • Remi Hervochon
    • 1
  • Mauro Loi
    • 1
  • Kim Blanc
    • 2
  • Nicolas Roche
    • 2
    • 3
  • Marco Alifano
    • 1
    • 3
  1. 1.Department of Thoracic SurgeryCochin Hospital, AP-HPParisFrance
  2. 2.Department of Chest Disease and Intensive CareCochin Hospital, AP-HPParisFrance
  3. 3.University Paris Descartes, Cochin Hospital, AP-HPParisFrance

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