Lung-protective ventilation for the surgical patient: consensus recommendations.

Authors

  • Ana Bellido Lopez Resident doctor. Anesthesiology and Resuscitation Service. University Hospital October 12. Madrid.
  • Raquel García Álvarez Assistant Physician. Anesthesiology and Resuscitation Service. University Hospital October 12. Madrid.
  • Laura González Villar Resident doctor. Anesthesiology and Resuscitation Service. University Hospital October 12. Madrid.

DOI:

https://doi.org/10.30445/rear.v12i12.871

Keywords:

ventilación protectora, cuidado intraoperatorio, daño pulmonar, complicaciones pulmonares postoperatorias, protective ventilation, intraoperative care, lung injury, postoperative pulmonary complications

Abstract

During last few years it has been several guidelines about lung-protective ventilation on patients suffering from ARDS on intensive care units but this review is the first one related to the surgical patient. A group of experts have tried to define and determinate the risk factors envolving postoperatory lung complications and the characteristics of the protective ventilation. 

 

References

- Canet J, Gallart L, Gomar C, et al. ARISCAT Group Prediction of postoperative pulmonary complications in a population-based surgical cohort. Anesthesiology 2010;113:1338-50.

- Bendixen HH, Hedley-Whyte J, Laver MB. Impaired Oxygenation in Surgical Patients during General Anesthesia with Controlled Ventilation. A Concept of Atelectasis. N Engl J Med 1963;269:991-6.

- Amato MB, Barbas CS, Medeiros DM, et al. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998;338:347-54.

- Wolthuis EK, Choi G, Dessing MC, Bresser P, Lutter R, Dzoljic M, et al. Mechanical ventilation with lower tidal volumes and positive end-expiratory pressure prevents pulmonary inflamma- tion in patients without preexisting lung injury. Anesthesiology. 2008;108:46-54.

- Severgnini P, Bacuzzi A, Guzzetti L et al. Ventilación protectora en anestesia general. ¿Algo nuevo?. Rev Esp Anestesiol Reanim 2018; 65(4): 218-224.

- Gattinoni L, Tonetti T, Cressoni M, Cadringher P, Herrmann P, Moerer O, et al. Ventilator-related causes of lung injury: The mechanical power. Intensive Care Med. 2016;42:1567-75.

Published

2021-01-11

How to Cite

Bellido Lopez, A., García Álvarez, R., & González Villar, L. (2021). Lung-protective ventilation for the surgical patient: consensus recommendations. Revista Electrónica AnestesiaR, 12(12). https://doi.org/10.30445/rear.v12i12.871

Issue

Section

Critical reviews of articles