Lung Protective Mechanic Ventilation Strategies in the Operating Room
Öz
A protective ventilation strategy refers to the use of low VT (in the range of 4–8 mL/kg of the predicted body weight) with positive end-expiratory pressure (PEEP), with or without recruitment manoeuvres. Protective ventilation has been considered the optimal practice in patients suffering from the acute respiratory distress syndrome (ARDS).However, few human studies have assessed how to ventilate healthy lungs in patients undergoing general anaesthesia.
Anahtar Kelimeler
Kaynakça
- 1. Serpa Neto A, Cardoso SO, Manetta JA, Pereira VG, Esposito DC, Pasqualucci Mde O et al. Association between use of lung-protective ventilation with lower tidal volumes and clinical outcomes among patients without acute respiratory distress syndrome: a meta-analysis. JAMA 2012;308:1651-9.
- 2. Serpa Neto A, Schultz MJ, Slutsky AS. Current concepts of protective ventilation during general anaesthesia. Swiss Med Wkly. 2015;145:w14211
- 3. Hess DR, Kondili D, Burns E, Bittner EA, Schmidt UH. A 5- year observational study of lung-protective ventilation in the operating room: A single-center experience. Journal of Critical Care 2013;28:533.e9-15
- 4. Futier E, Jaber S. Lung-protective ventilation in abdominal surgery. Curr Opin Crit Care 2014;20:426-30
- 5. Tao T, Bo L, Chen F, Xie Q, Zou Y, Hu B, et al. Effect of protective ventilation on postoperative pulmonary complications in patients undergoing general anaesthesia: a meta-analysis of randomised controlled trials. BMJ Open 2014;4:e005208. doi:10.1136/ bmjopen-2014-005208
- 6. Ventilation with lower tidal volumes as campared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med 2000;342:1301-8.
- 7. Güldner A, Kiss T, Serpa Neto A, Hemmes SN, Canet J, Spieth P, et al. Intraoperative Protective Mechanical Ventilation for Prevention of Postoperative Pulmonary Complications A Comprehensive Review of the Role of Tidal Volume, Positive End-expiratory Pressure, and Lung Recruitment Maneuvers. Anesthesiology 2015;123: 692-713
- 8. Richard JC, Maggiore SM, Jonson B, Mancebo J, Lemaire F, Brochard L. Influence of tidal volume on alveolar recruitment. Respective role of PEEP and a recruitment maneuver. Am J Respir Crit Care Med 2001;163:1609-13.
Ayrıntılar
Birincil Dil
İngilizce
Konular
Klinik Tıp Bilimleri
Bölüm
Derleme
Yazarlar
Eyyüp Sabri Özden
Özel Memorial Ankara Hastanesi
Türkiye
Yayımlanma Tarihi
1 Mart 2018
Gönderilme Tarihi
26 Aralık 2016
Kabul Tarihi
5 Ocak 2017
Yayımlandığı Sayı
Yıl 2018 Cilt: 25 Sayı: 1