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Table 1 Table to demonstrate the components included in the CB and those which were not chosen by the Delphi consensus

From: What are the optimum components in a care bundle aimed at reducing post-operative pulmonary complications in high-risk patients?

  Pre-operative Intra-operative Post-operative
In the care bundle • Supervised exercise programme • Inspiratory muscle training (*) • Low tidal volume ventilation (**) with individualised PEEP • Use of routine monitoring to avoid hyperoxia • Limit NM blockade • Deep breathing exercises • Mandatory elevation of the head of the bed
Not in the care bundle • Oropharyngeal decontamination • Oral care package • Chlorhexidine mouthwash or other selective oral decontamination • Selective digestive decontamination • Incentive spirometry • Deep breathing exercises • Daily pedometer targets • Recruitment manoeuvres • Routine use of high levels of PEEP • Use of endotracheal tubes with specific design features, including subglottic secretion drainage • Specific drugs or techniques to limit residual neuromuscular blockade • Prophylactic ventilator support including CPAP, NIV or high-flow nasal oxygen • Pharmacological therapies that aim to decrease gastro-oesophageal reflux
  1. A recommendation with (*) moderate quality or (**) strong quality evidence using GRADE or Jadad criteria