Anesthesiology November 2020 PMID 32902561

Perioperative Open-lung Approach, Regional Ventilation, and Lung Injury in Cardiac Surgery.

David Lagier, Lionel J Velly, Benoit Guinard, Nicolas Bruder, Catherine Guidon, Marcos F Vidal Melo, Marie-Christine Alessi

Mentions

7
Peak: 3 in Oct 2020
across 3 sources since Sep 2020

Extended reach

85,382
potential audience

Total likes

27

Video views

6,048

Mentions per month

Sep 2020 – Dec 2020

Where it's discussed

  • X / Twitter4 posts
  • Facebook2 posts
  • YouTube1 videos

AI synopsis

What people are saying

The discussions hover around the study’s findings that the open-lung ventilation strategy did not offer lasting benefits, with some posts mentioning that dorsal ventilation was temporarily observed, but without sustained advantages, using neutral or observational language. The tone and content reflect a cautious acknowledgment of the results' relevance, without strong advocacy or critique, leading to moderate interest and engagement levels.

AgreementNeither agree nor disagree

Discussions show mixed opinions; some recognize that the open-lung approach did not lead to improved outcomes, indicating neither strong support nor disagreement overall.

InterestModerate interest

Participants display moderate curiosity, especially regarding the findings about ventilation strategies in cardiac surgery, but some show only superficial engagement.

EngagementNeutral engagement

Posts briefly mention the study results and implications without deep analysis, suggesting moderate engagement levels.

ImpactNeutral impact

The discussion hints at clinical relevance by highlighting that the open-lung approach did not show lasting benefits, but overall, the perceived impact appears limited since no drastic changes or conclusions are being emphasized.

Abstract in brief

  • The study found that an open-lung ventilation strategy, which includes recruitment maneuvers and higher PEEP, did not improve regional ventilation distribution or postoperative lung outcomes in patients undergoing on-pump cardiac surgery.
  • While induction of anesthesia caused more dorsal ventilation in the open-lung group, this difference was not observed after surgery or on postoperative day 2, indicating no lasting benefit from the strategy.
  • However, open-lung ventilation was associated with higher levels of plasma sRAGE, a biomarker indicating lung epithelial injury, suggesting that this approach might increase certain lung injury markers despite not improving ventilation distribution.

Top posts

Most liked on X and Bluesky
Anesthesiology Journals
@_Anesthesiology · X

In cardiac surgery patients, open-lung ventilation provided dorsal lung ventilation early during surgery without a maintained benefit as compared with controls at the end of surgery. #cardiacanesthesia #cardiacsurgery #mechanicalventilation https://t.co/y1I9sKDiNN https://t.co/djk8NomeGb

Sep 18, 2020 · 8 likes · 2 shares · 38,246 followers View post →
Anesthesia Business Consultants
@AnesthesiaLLC · X

Video abstract on: Perioperative Open-lung Approach, Regional Ventilation, and Lung Injury in Cardiac Surgery: A PROVECS Trial Substudy DOI: 10.1097/ALN.0000000000003539 https://t.co/Z6my3DQ60d

Oct 20, 2020 · 40,528 followers View post →
RC - Research
@RC_Research · X

Perioperative Open-lung Approach, Regional Ventilation, and Lung Injury in Cardiac Surgery. https://t.co/PhexFeVDKd

Dec 3, 2020 · 509 followers View post →
Medac
@anesthesia_bill · X

Video abstract on: Perioperative Open-lung Approach, Regional Ventilation, and Lung Injury in Cardiac Surgery: A PROVECS Trial Substudy DOI: 10.1097/ALN.0000000000003539 https://t.co/dj54opPQE9

Oct 20, 2020 · 47 followers View post →

All mentions

RC - Research
@RC_Research · X

Perioperative Open-lung Approach, Regional Ventilation, and Lung Injury in Cardiac Surgery. https://t.co/PhexFeVDKd

Dec 3, 2020 · 509 followers View post →
Medac
@anesthesia_bill · X

Video abstract on: Perioperative Open-lung Approach, Regional Ventilation, and Lung Injury in Cardiac Surgery: A PROVECS Trial Substudy DOI: 10.1097/ALN.0000000000003539 https://t.co/dj54opPQE9

Oct 20, 2020 · 47 followers View post →
Anesthesia Business Consultants
@AnesthesiaLLC · X

Video abstract on: Perioperative Open-lung Approach, Regional Ventilation, and Lung Injury in Cardiac Surgery: A PROVECS Trial Substudy DOI: 10.1097/ALN.0000000000003539 https://t.co/Z6my3DQ60d

Oct 20, 2020 · 40,528 followers View post →
Anesthesiology Journals
@_Anesthesiology · X

In cardiac surgery patients, open-lung ventilation provided dorsal lung ventilation early during surgery without a maintained benefit as compared with controls at the end of surgery. #cardiacanesthesia #cardiacsurgery #mechanicalventilation https://t.co/y1I9sKDiNN https://t.co/djk8NomeGb

Sep 18, 2020 · 8 likes · 2 shares · 38,246 followers View post →