Assessment of preoperative noninvasive ventilation before lung cancer surgery: The preOVNI randomized controlled study

The preOVNI study was a randomized, controlled, open-label study that investigated whether preoperative noninvasive ventilation (NIV) could reduce postoperative complications after lung cancer surgery. Adult patients with planned lung cancer resection and with at least 1 cardiac or respiratory comor...

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Veröffentlicht in:The Journal of thoracic and cardiovascular surgery 2020-10, Vol.160 (4), p.1050-1059.e3
Hauptverfasser: Paleiron, Nicolas, Grassin, Frédéric, Lancelin, Christophe, Tromeur, Cécile, Margery, Jacques, Natale, Claudia, Couturaud, Francis, Gut-Gobert, Christophe, Barnier, Aude, Noël-Savina, Elise, Bazire, Amélie, Payet, Annabelle, Berard, Henri, Andre, Michel, Vaylet, Fabien, Vinas, Florent, Chouaïd, Christos, Venissac, Nicolas, Donzel-Raynaud, Christine, RAUT, Yvonnick, Salley, Nicolas, Corre, Romain, Kerjouan, Mallorie, Cuvelier, Antoine, Gounane, Cherifa, Blandin, Sonia, Falchero, Lionel, Le Treut, Jacques, Aze, Olivier, Gagnadoux, Frédéric, Trzepizur, Wojciech, Vergnenegre, Alain, Egenod, Thomas, Tiffet, Olivier, Parietti, Eric
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container_end_page 1059.e3
container_issue 4
container_start_page 1050
container_title The Journal of thoracic and cardiovascular surgery
container_volume 160
creator Paleiron, Nicolas
Grassin, Frédéric
Lancelin, Christophe
Tromeur, Cécile
Margery, Jacques
Natale, Claudia
Couturaud, Francis
Couturaud, Francis
Gut-Gobert, Christophe
Barnier, Aude
Noël-Savina, Elise
Bazire, Amélie
Payet, Annabelle
Paleiron, Nicolas
Berard, Henri
Andre, Michel
Grassin, Frédéric
Margery, Jacques
Vaylet, Fabien
Vinas, Florent
Chouaïd, Christos
Venissac, Nicolas
Donzel-Raynaud, Christine
Lancelin, Christophe
RAUT, Yvonnick
Salley, Nicolas
Corre, Romain
Kerjouan, Mallorie
Cuvelier, Antoine
Gounane, Cherifa
Blandin, Sonia
Falchero, Lionel
Le Treut, Jacques
Aze, Olivier
Gagnadoux, Frédéric
Trzepizur, Wojciech
Vergnenegre, Alain
Egenod, Thomas
Tiffet, Olivier
Parietti, Eric
description The preOVNI study was a randomized, controlled, open-label study that investigated whether preoperative noninvasive ventilation (NIV) could reduce postoperative complications after lung cancer surgery. Adult patients with planned lung cancer resection and with at least 1 cardiac or respiratory comorbidity were included and randomly assigned to preoperative NIV (at least 7 days and 4 h/day) or no NIV. The primary endpoint was the rate of postoperative protocol-defined complications. Three hundred patients were included. In the NIV group, the median NIV duration was 8 days. No difference of postoperative complication rates was evidenced: 42.6% in NIV group and 44.8% in no-NIV group (P = .75). The rate of pneumonia was greater in no-NIV group compared with the NIV group, but statistical significance was not achieved (28.0 vs 37.7%, respectively; P = .08). The type of surgery (open or minimally invasive) did not impact these results after multivariable analysis. No benefit was evidenced for preoperative NIV before lung cancer surgery. Further studies should determine the optimal perioperative management to decrease the rate of postoperative complications. The preOVNI study. The preOVNI study was a randomized controlled study evaluating preoperative bilevel positive airway pressure (BPAP) before lung cancer surgery; 300 patients were 1:1 randomized. There was no difference in terms of postoperative complications between the two groups. COPD, Chronic obstructive pulmonary disease; CO, carbon monoxide; R, randomization. [Display omitted]
doi_str_mv 10.1016/j.jtcvs.2019.09.193
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Adult patients with planned lung cancer resection and with at least 1 cardiac or respiratory comorbidity were included and randomly assigned to preoperative NIV (at least 7 days and 4 h/day) or no NIV. The primary endpoint was the rate of postoperative protocol-defined complications. Three hundred patients were included. In the NIV group, the median NIV duration was 8 days. No difference of postoperative complication rates was evidenced: 42.6% in NIV group and 44.8% in no-NIV group (P = .75). The rate of pneumonia was greater in no-NIV group compared with the NIV group, but statistical significance was not achieved (28.0 vs 37.7%, respectively; P = .08). The type of surgery (open or minimally invasive) did not impact these results after multivariable analysis. No benefit was evidenced for preoperative NIV before lung cancer surgery. Further studies should determine the optimal perioperative management to decrease the rate of postoperative complications. The preOVNI study. The preOVNI study was a randomized controlled study evaluating preoperative bilevel positive airway pressure (BPAP) before lung cancer surgery; 300 patients were 1:1 randomized. There was no difference in terms of postoperative complications between the two groups. COPD, Chronic obstructive pulmonary disease; CO, carbon monoxide; R, randomization. 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Adult patients with planned lung cancer resection and with at least 1 cardiac or respiratory comorbidity were included and randomly assigned to preoperative NIV (at least 7 days and 4 h/day) or no NIV. The primary endpoint was the rate of postoperative protocol-defined complications. Three hundred patients were included. In the NIV group, the median NIV duration was 8 days. No difference of postoperative complication rates was evidenced: 42.6% in NIV group and 44.8% in no-NIV group (P = .75). The rate of pneumonia was greater in no-NIV group compared with the NIV group, but statistical significance was not achieved (28.0 vs 37.7%, respectively; P = .08). The type of surgery (open or minimally invasive) did not impact these results after multivariable analysis. No benefit was evidenced for preoperative NIV before lung cancer surgery. Further studies should determine the optimal perioperative management to decrease the rate of postoperative complications. The preOVNI study. The preOVNI study was a randomized controlled study evaluating preoperative bilevel positive airway pressure (BPAP) before lung cancer surgery; 300 patients were 1:1 randomized. There was no difference in terms of postoperative complications between the two groups. COPD, Chronic obstructive pulmonary disease; CO, carbon monoxide; R, randomization. [Display omitted]</description><subject>Animal biology</subject><subject>Cellular Biology</subject><subject>Food and Nutrition</subject><subject>Life Sciences</subject><subject>lung cancer surgery</subject><subject>noninvasive ventilation</subject><subject>Pharmaceutical sciences</subject><subject>postoperative complications</subject><subject>randomized controlled 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Thorac Cardiovasc Surg</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>160</volume><issue>4</issue><spage>1050</spage><epage>1059.e3</epage><pages>1050-1059.e3</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><abstract>The preOVNI study was a randomized, controlled, open-label study that investigated whether preoperative noninvasive ventilation (NIV) could reduce postoperative complications after lung cancer surgery. 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The preOVNI study was a randomized controlled study evaluating preoperative bilevel positive airway pressure (BPAP) before lung cancer surgery; 300 patients were 1:1 randomized. There was no difference in terms of postoperative complications between the two groups. COPD, Chronic obstructive pulmonary disease; CO, carbon monoxide; R, randomization. [Display omitted]</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31924365</pmid><doi>10.1016/j.jtcvs.2019.09.193</doi><orcidid>https://orcid.org/0000-0003-0263-1845</orcidid><orcidid>https://orcid.org/0000-0002-1855-8032</orcidid><orcidid>https://orcid.org/0000-0002-4290-5524</orcidid><oa>free_for_read</oa></addata></record>
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subjects Animal biology
Cellular Biology
Food and Nutrition
Life Sciences
lung cancer surgery
noninvasive ventilation
Pharmaceutical sciences
postoperative complications
randomized controlled trial
title Assessment of preoperative noninvasive ventilation before lung cancer surgery: The preOVNI randomized controlled study
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