这项大型临床有效性试验中,CPAP 并未降低腹部大手术患者术后肺炎、再插管或死亡的发生率。因此,尽管 CPAP 在手术后呼吸衰竭的治疗中具有重要作用,但不推荐常规使用预防性术后 CPAP。 RT解读: 术后患者拔管后呼吸支持的选择一直是临床研究的热点,既往的研究证实对于腹部手术特别是上腹部手术患者在出现低氧1h内应用CPA...
The intervention is CPAP for at least four hours, started within four hours of the end of surgery. The primary outcome is a composite of pneumonia, re-intubation, or death within 30 days of randomization. All participants with a recorded outcome will be analyzed on an intention-to-treat ...