Table 1:

Characteristics of randomized controlled trials included in the meta-analysis

StudyNo. of patientsSurgical procedureLung-protective ventilationConventional ventilationOutcomes
Tidal volume, mL/kgPEEP, cm H2ORecruitment manoeuvreTidal volume, mL/kgPEEP, cm H2ORecruitment manoeuvre
Chaney et al., 20002025CABG65No125NoMortality, length of hospital stay, Paco2 level
Koner et al., 20042129CABG65No105NoMortality, length of hospital stay, Pao2/Fio2 ratio, Paco2 level
Wrigge et al., 20042232Thoracic surgery610No120NoPao2/Fio2 ratio, Paco2 level
Wrigge et al., 20052344Cardiac surgery6Adjusted by ARDSnet scaleNo12Adjusted by ARDSnet scaleNoLength of ICU stay, Pao2/Fio2 ratio, Paco2 level
Zupancich et al., 20052440CABG810No10–122–3NoMortality, Pao2/Fio2 ratio, Paco2 level
Michelet et al., 20062552Esophagectomy55No90NoLung injury, pulmonary infection, mortality, Paco2 level
Cai et al., 20072616Neurosurgery6NRN:o10NRNoAtelectasis, Pao2/Fio2 ratio, Paco2 level
Determann et al., 20082740Abdominal surgery610No120NoPaco2 level
Lin et al., 20082840Esophagectomy5–63–5No100NoAtelectasis
Weingarten et al., 20102940Abdominal surgery612Yes100NoLung injury, pulmonary infection, atelectasis, mortality, Pao2/Fio2 ratio, Paco2 level
Sundar et al., 201130149Cardiac surgery6Adjusted by ARDSnet scaleNo10Adjusted by ARDSnet scaleNoMortality, Pao2/Fio2 ratio
Yang et al., 201131100Lobectomy65No100NoLung injury, pulmonary infection, atelectasis, mortality, length of hospital stay, length of ICU stay, Paco2 level
Memtsoudis et al., 20123226Spinal surgery68No120NoPao2/Fio2 ratio, Paco2 level
Treschan et al., 201233101Abdominal surgery65Yes125YesLung injury, pulmonary infection, mortality, length of hospital stay, length of ICU stay
Futier et al., 201334400Abdominal surgery6–86–8Yes10–120NoLung injury, pulmonary infection, atelectasis, mortality, length of hospital stay, length of ICU stay, Paco2 level
Maslow et al., 20133532Thoracotomy55No100NoLung injury, mortality, length of hospital stay, Pao2/Fio2 ratio, Paco2 level
Severgnini et al., 20133655Abdominal surgery710Yes90NoAtelectasis, mortality
Shen et al., 201337101Esophagectomy55No80NoLung injury, pulmonary infection, mortality
Qutub et al., 20143826Thoracoscopic surgery65No85NoLung injury, pulmonary infection, atelectasis, mortality
  • Note: ARDSnet = Acute Respiratory Distress Syndrome Network, CABG = coronary artery bypass graft surgery, Fio2 = fraction of inspired oxygen, ICU = intensive care unit, Paco2 = arterial partial pressure of carbon dioxide, Pao2 = arterial partial pressure of oxygen, PEEP = positive end-expiratory pressure.