Perioperative anaesthetic management of patients with or at risk of acute distress respiratory syndrome undergoing emergency surgery

Battaglini, Denise; Robba, Chiara; Rocco, Patricia Rieken Macêdo; De Abreu, Marcelo Gama; Pelosi, Paolo; Ball, Lorenzo

doi:10.1186/s12871-019-0804-9

Table 1 resumes the principal scores used to predict postoperative respiratory complications

From: Perioperative anaesthetic management of patients with or at risk of acute distress respiratory syndrome undergoing emergency surgery

Clinical Variable	Canet J et al. 2010	Gupta H et al. 2011	Arozullah AM et al. 2000	LAS VEGAS investig. 2017	Bauman ZM et al. 2015 [16]	Kor DJ et al. 2011 [15]
Patient dependent
Age	Yes	Yes	Yes	Yes	No	Yes
Dependent functional status	No	Yes	Yes	No	No	No
ASA score	No	Yes	No	Yes	No	No
Chronic obstructive pulmonary disease	No	Yes	Yes	No	No	Yes
Impaired sensorium	No	No	Yes	No	No	No
Cerebrovascular accident	No	No	Yes	No	No	No
Preoperative SpO₂	Yes	No	No	Yes	No	No
Transfusion > 4 units prior surgery	No	No	Yes	No	Yes	No
Significant weight loss	No	No	Yes	No	No	No
Preoperative sepsis	No	Yes	No	No	No	No
Preoperative anaemia	Yes	No	No	Yes	Yes	No
Blood urea nitrogen level	No	No	Yes	No	No	No
Recent respiratory infection	Yes	No	No	No	No	No
Relevant alcohol intake	No	No	Yes	No	Yes	Yes
Smoking before operation	No	Yes	Yes	No	Yes	Yes
Chronic steroid use	No	No	Yes	No	No	No
Cancer	No	No	No	Yes	No	No
Obstructive sleep apnoea	No	No	No	Yes	No	No
Hypoalbuminemia	No	No	No	No	No	No
Chemotherapy	No	No	No	No	Yes	Yes
Diabetes mellitus	No	No	No	No	Yes	Yes
Acidosis	No	No	No	No	Yes	No
Obesity	No	No	No	No	Yes	Yes
FiO₂ > 0.35 (or > 4 L/min)	No	No	No	No	Yes	No
Tachypnoea	No	No	No	No	Yes	No
Sepsis	No	No	No	No	Yes	No
Aspiration	No	No	No	No	Yes	No
Shock	No	No	No	No	Yes	No
High risk trauma	No	No	No	No	Yes	No
BMI	No	No	No	No	Yes	No
Amiodarone	No	No	No	No	Yes	Yes
Statins	No	No	No	No	No	Yes
ACE-I/ARB	No	No	No	No	No	Yes
Sex	No	No	No	No	No	Yes
Restrictive lung disease	No	No	No	No	No	Yes
GERD	No	No	No	No	No	Yes
Cirrhosis	No	No	No	No	No	Yes
Procedure dependent
Elective or emergency procedure	Yes	Yes	Yes	Yes	No	No
Duration of surgery	Yes	Yes	Yes	Yes	No	No
Type of surgical procedure	Yes	Yes	Yes	No	Yes	Yes
Type of anaesthesia	No	No	No	Yes	No	No
Use of supraglottic device	No	No	No	Yes	No	No
Desaturation	No	No	No	Yes	No	No
Need of vasoactive drugs	No	No	No	Yes	No	No
Mechanical ventilation characteristics	No	No	No	Yes	No	No
Validation
Prospective external validation	Yes	No	No	Yes	No	Yes

ASA American Society of Anesthesiologists, BMI Body mass index, ACE-I Angiotensin converting enzyme inhibitors, ARB Angiotensin receptor blockers, GERD Gastro-esophageal reflux disease

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ISSN: 1471-2253

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