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Continuous positive airway pressure (CPAP) during the postoperative period for prevention of postoperative morbidity and mortality following major abdominal surgery

  1. Claire J Ireland1,*,
  2. Timothy M Chapman2,
  3. Suneeth F Mathew3,
  4. G Peter Herbison4,
  5. Mathew Zacharias1

Editorial Group: Cochrane Anaesthesia, Critical and Emergency Care Group

Published Online: 1 AUG 2014

Assessed as up-to-date: 15 SEP 2013

DOI: 10.1002/14651858.CD008930.pub2


How to Cite

Ireland CJ, Chapman TM, Mathew SF, Herbison GP, Zacharias M. Continuous positive airway pressure (CPAP) during the postoperative period for prevention of postoperative morbidity and mortality following major abdominal surgery. Cochrane Database of Systematic Reviews 2014, Issue 8. Art. No.: CD008930. DOI: 10.1002/14651858.CD008930.pub2.

Author Information

  1. 1

    Dunedin Hospital, Department of Anaesthesia & Intensive Care, Dunedin, New Zealand

  2. 2

    Christchurch Public Hospital, Department of Anaesthesia, Christchurch, New Zealand

  3. 3

    University of Auckland, Medical Student at School of Medicine, Auckland, New Zealand

  4. 4

    Dunedin School of Medicine, University of Otago, Department of Preventive & Social Medicine, Dunedin, New Zealand

*Claire J Ireland, Department of Anaesthesia & Intensive Care, Dunedin Hospital, Great King Street, Dunedin, New Zealand. claireireland@hotmail.com.

Publication History

  1. Publication Status: New
  2. Published Online: 1 AUG 2014

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
  6. References to other published versions of this review
Bohner 2002 {published data only}
  • Bohner H, Kindgen-Milles D, Grust A, Buhl R, Lillotte W-C, et al. Prophylactic nasal continuous positive airway pressure after major vascular surgery: results of a prospective randomized trial. Archives of Surgery 2002;387:21-6. [PUBMED: 11981680 ]
Carlsson 1981 {published data only}
  • Carlsson C, Sonden B, Thylen U. Can postoperative continuous positive airway pressure (CPAP) prevent pulmonary complications after abdominal surgery?. Intensive Care Medicine 1981;7:225-9. [PUBMED: 7024383]
Christensen 1991 {published data only}
  • Christensen EF, Schultz P, Jensen OV, Egebo K, Engberg M, Gron I, et al. Postoperative pulmonary complications and lung function in high-risk patients: a comparison of three physiotherapy regimens after upper abdominal surgery in general anesthesia. Acta Anaesthesiologica Scandinavica 1991;35:97-104. [PUBMED: 2024569]
Denehy 2001 {published data only}
  • Denehy L, Carroll S, Ntoumenopoulos G, Jenkins S. A randomized controlled trial comparing periodic mask CPAP with physiotherapy after abdominal surgery. Physiotherapy Research International 2001;6(4):236-50. [PUBMED: 11833245]
Gaszynski 2007 {published data only}
Lindner 1987 {published data only}
Lotz 1984 {published data only}
  • Lotz P, Heise U, Schaffer J, Wollinsky K-H. The effect of Intraoperative PEEP-ventilation and postoperative pulmonary function following upper abdominal surgery [(Article in German)]. Anaesthesist 1984;33:177-88. [PUBMED: 6428260]
Ricksten 1986 {published data only}
  • Ricksten SE, Bengtsson A, Soderberg C, Thorden M, Kvist H. Effects of periodic positive airway pressure by mask on postoperative pulmonary function. Chest 1986;89(6):774-81. [PUBMED: 3519107]
Squadrone 2005 {published data only}
  • Squadrone V, Coha M, Cerutti E, Schellino MM, Biolino P, Occella P, et al. Continuous positive airway pressure for treatment of postoperative hypoxemia: a randomized controlled trial. JAMA 2005;293(5):589-95. [PUBMED: 15687314]
Stock 1985 {published data only}
  • Stock MC, Downs JB, Gauer PK, Alster JM, Imrey PB. Prevention of postoperative pulmonary complications with CPAP, incentive spirometry, and conservative therapy. Chest 1985;87(2):151-7. [PUBMED: 3881226]

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
  6. References to other published versions of this review
Anderes 1979 {published data only}
  • Anderes C, Anderes U, Gasser D, Dittmann M, Turner J, Brennwald J, et al. Postoperative spontaneous breathing with CPAP to normalize late postoperative oxygenation. Intensive Care Medicine 1979;5(1):15-21. [PUBMED: PMID: 374444]
Celli 1984 {published data only}
  • Celli BR, Rodriguez KS, Snider GL. A controlled trial of intermittent positive pressure breathing, incentive spirometry, and deep breathing exercises in preventing complications after abdominal surgery. The American review of respiratory disease 1984;130:12-5. [PUBMED: 6377994]
Conti 2007 {published data only}
  • Conti G, Cavaliere F, Costa R, Craba A, Catarci S, Festa V, et al. Noninvasive positive pressure ventilation with different interfaces in patients with respiratory failure after abdominal surgery: a matched-control study. Respiratory Care 2007;52(11):1463-71. [PUBMED: 17971249]
Drummond 2002 {published data only}
  • Drummond GB, Stedul K, Kingshott R, Rees K, Nimmo AF, Wraith P, et al. Automatic CPAP compared with conventional treatment for episodic hypoxemia and sleep disturbance after major abdominal surgery. Anesthesiology 2002;96:817-26. [PUBMED: 11964587]
Ebeo 2002 {published data only}
  • Ebeo CT, Benotti PN, Byrd Jr RP, Elmaghraby Z, Lui J. The effect of bi-level positive airway pressure on postoperative pulmonary function following gastric surgery for obesity. Respiratory Medicine 2002;96:672-6. [PUBMED: 12243311]
Huerta 2002 {published data only}
  • Huerta S, DeShields S, Sbpiner R, Li Z, Liu C, Sawicki M, et al. Safety and efficacy of postoperative continuous positive airway pressure to prevent pulmonary complications after Roux-en-Y gastric bypass. Journal of Gastrointestinal Surgery 2002;6(3):354-8. [PUBMED: 12022987]
Jaber 2005 {published data only}
  • Jaber S, Delay J-M, Chanques G, Sebbane M, Jacquet E, Souche B, et al. Outcomes of patients with acute respiratory failure after abdominal surgery treated with noninvasive positive pressure ventilation. Chest 2005;128(4):2688-95. [PUBMED: 16236943]
Joris 1997 {published data only}
  • Joris JL, Sottiaux TM, Chiche JD, Desaice CJ, Lamy ML. Effect of bi-level positive airway pressure (BiPAP) nasal ventilation on the postoperative pulmonary restrictive syndrome in obese patients undergoing gastroplasty. Chest 1997;111(3):665-70. [PUBMED: 9118706]
Kindgen-Milles 2005 {published data only}
  • Kindgen-Milles D, Muller E, Buhl R, Bohner H, Ritter D, Sandmann W, et al. Nasal-continuous positive airway pressure reduces pulmonary morbidity and length of hospital stay following thoracoabdominal aortic surgery. Chest 2005;128(2):821-8. [PUBMED: 16100174]
Neligan 2009 {published data only}
  • Neligan PJ, Malhothra G, Fraser M, Williams N, Greenblatt EP, Cereda M, et al. Continuous positive airway pressure via the Boussignac system immediately after extubation improves lung function in morbidly obese patients with obstructive sleep apnea undergoing laparoscopic bariatric surgery. Anesthesiology 2009;110(4):878-84. [PUBMED: 19293693]
Olsen 2002 {published data only}
  • Olsen MF, Wennberg E, Johnsson E, Josefson K, Lonroth H, Lundell L. Randomized clinical study of the prevention of pulmonary complications after thoracoabdominal resection by two different breathing techniques. British Journal of Surgery 2002;89(10):1228-34. [PUBMED: 12296888]
Rieg 2012 {published data only}
  • Rieg AD, Stoppe C, Rossaint R, Coburn M, Hein M, Schalte G. EzPAP® therapy of postoperative hypoxemia in the recovery room: experiences with the new compact system of end-expiratory positive airway pressure. Der Anaesthesist 2012;61(10):867-74. [PUBMED: 23011043]
Roeseler 1982 {published data only}
  • Roeseler J, Themouroux J, Soete M, Reynaert M, Francis CH. Effect of three types of respiratory assistance (continuous positive pressure, intermittent positive pressure, classical respiratory physiotherapy) on PaO2, PaCO2 in patients undergoing digestive tract surgery. Le Poumon et le Coeur 1982;38:135-42. [PUBMED: 6813834]
Vartanov 2007 {published data only}
  • Vartanov IV, Khrapov KN, Polushin IUS. Use of noninvasive ventilation in patients at high postoperative risk for cardiopulmonary complications. Anesteziologiia i Reanimatologiia 2007;3:17-9. [PUBMED: 17684982]
Wong 2011 {published data only}
  • Wong DT, Adly E, Ip HY, Thapar S, Maxted GR, Chung FF. A comparison between the Boussignac™ continuous positive airway pressure mask and the venturi mask in terms of improvement in the PaO2/F(I)O2 ratio in morbidly obese patients undergoing bariatric surgery: a randomized controlled trial. Canadian Journal of Anesthesia 2011;58(6):532-9. [PUBMED: 21465320]

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
  6. References to other published versions of this review
Damgaard 1982 {published data only}
  • Damgaard B, Andersen BN, Andersen A. Postoperative CPAP therapy following surgery in the kidney area. Ugeskrift for Laeger 1982;144(8):545-7. [MEDLINE: 7046179]

References to ongoing studies

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
  6. References to other published versions of this review
McKay 2012 {published data only}
  • Prophylactic nCPAP Following Bowel Surgery (Bio-REB File 11-27). Ongoing study 2012.
Wong 2010 {published data only}
  • Oxygenation and Pulmonary Function in Morbidly Obese Patients Undergoing Bariatric Surgery. Ongoing study 2010.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
  6. References to other published versions of this review
Arozullah 2000
  • Arozullah AM, Daley J, Henderson WG, Khuri S. Multifactorial risk index for predicting postoperative respiratory failure in men after major noncardiac surgery. Annals of Surgery 2000;232(2):242-53. [PUBMED: 10903604]
Arunotai 2010
  • Arunotai S, Sahatsa M, Jathuporn T, Piyasak V, Somsak A, Jaruwan L. Obesity, epidural analgesia, and subcostal incision are risk factors for postoperative desaturation. Canadian Journal of Anaesthesia 2010;57(5):415-22. [PUBMED: 20349163]
Brismar 1985
  • Brismar B, Hedenstierna G, Lundquist H, Strandberg A, Svensson L, Tokics L. Pulmonary densities during anesthesia with muscular relaxation: a proposal of atelectasis. Anesthesiology 1985;62:422-8.
Duggan 2005
Duggan 2007
Egger 1997
  • Egger M, Smith GD, Phillips AN. Meta-analysis: principles and procedures. BMJ 1997;316(7121):1533-7. [PUBMED: 9432252]
Ferreyra 2008
  • Ferreyra GP, Baussano I, Squadrone V, Richiardi L, Marchiaro G, et al. Continous positive airway pressure for treatment of respiratory complications after abdominal surgery: a systematic review and meta-analysis. Annals of Surgery 2008;247(4):617-26. [PUBMED: 18362624]
Ghaferi 2009
GRADEpro 2008 [Computer program]
  • Brozek J, Oxman A, Schünemann H. GRADEpro.. Version 3.2 for Windows. Brozek J, Oxman A, Schünemann H, 2008.
Guimaraes 2009
Haynes 2009
  • Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AS, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. New England Journal of Medicine 2009;360(5):491-9.
Higgins 2011
  • Higgins JPT, Green S (editors). Cochrane Handbook of Systematic Reviews of Interventions, Version 5.1.0. [updated March 2011]. The Cochrane Collaboration 2011, www.cochrane-handbook.org.
Kaw 2006
  • Kaw R, Michota F, Jaffer A, Ghamande S, Auckley D, Golish J. Unrecognized sleep apnea in the surgical patient: implications for the perioperative setting. Chest 2006;129:198-205. [PUBMED: 16424433]
Lindberg 1992
Nava 2009
Nunn 1962
  • Nunn JF, Payne JP. Hypoxaemia after general anaesthesia. Lancet 1962;280(7257):631-2. [PUBMED: 13939226]
Olsen 2011
Pelosi 2010
RevMan 5.2 [Computer program]
  • The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). Version 5.2. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2012.
Sibbald 1985
  • Sibbald WJ. Myocardial function in the critically ill: factors influencing left and right ventricular performance in patients with sepsis and trauma. Surgical Clinics of North America 1985;65(4):867-93. [PUBMED: 3901347]
Tusman 2012
Warner 2000
Weaver 2008
  • Weaver TE, Grunstein RR. Adherence to continuous positive airway pressure therapy: the challenge to effective treatment. The Proceedings of the American Thoracic Society 2008;5(2):173-8. [PUBMED: 18250209]
Weksler 1991
  • Weksler N, Ovadia L. Nasal continuous positive airway pressure: an alternative method for respiratory assistance. Journal of Clinical Anesthesia 1991;6:442-6. [PUBMED: 1760165]

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
  6. References to other published versions of this review
Ireland 2011
  • Ireland CJ, Chapman TM, Herbison GP, Zacharias M. Continuous positive airway pressure (CPAP) in the postoperative period for the prevention of postoperative morbidity and mortality following major abdominal surgery. Cochrane Database of Systematic Reviews 2011, Issue 1. [DOI: 10.1002/14651858.CD008930]