Intraoperative positive end-expiratory pressure evaluation using the intratidal compliance-volume profile
نویسندگان
چکیده
منابع مشابه
Intraoperative positive end-expiratory pressure evaluation using the intratidal compliance-volume profile.
BACKGROUND Lung-protective mechanical ventilation during general surgery including the application of PEEP can reduce postoperative pulmonary complications. In a prospective clinical observation study, we evaluated volume-dependent respiratory system compliance in adult patients undergoing ear-nose-throat surgery with ventilation settings chosen empirically by the attending anaesthetist. METH...
متن کاملRESPIRATION AND THE AIRWAY Intraoperative positive end-expiratory pressure evaluation using the intratidal compliance-volume profile
Editor’s key points † The use of PEEP is beneficial in mechanically ventilated critically ill patients with acute lung injury. † PEEP may also be useful during surgery under general anaesthesia, but the optimum levels are uncertain. † In this small observational study, a PEEP setting of 5 cm H2O was insufficient to prevent derecruitment and a reduction in compliance. † Higher, individualized se...
متن کاملPositive end-expiratory pressure.
PURPOSE OF REVIEW In the last 2 years, several reports have dealt with recruitment/positive end-expiratory pressure (PEEP) selection. Most of them confirm previous results and few add new information. RECENT FINDINGS It has been definitely confirmed that opening pressures are different throughout the acute respiratory distress syndrome lung parenchyma, ranging from 5-10 up to 30-40 cmH2O. The...
متن کاملPositive end-expiratory pressure or no positive end-expiratory pressure: is that the question to be asked?
Positive end-expiratory pressure (PEEP) is an essential technique for the respiratory care of many critically ill patients who require ventilatory support. With the application of PEEP, the baseline end-expiratory pressure in mechanically ventilated patients is elevated above atmospheric pressure. In general, the application of PEEP is expected to improve lung mechanics and gas exchange as it r...
متن کاملDynamics of end expiratory lung volume after changing positive end-expiratory pressure in acute respiratory distress syndrome patients
INTRODUCTION Lung recruitment maneuvers followed by an individually titrated positive end-expiratory pressure (PEEP) are the key components of the open lung ventilation strategy in acute respiratory distress syndrome (ARDS). The staircase recruitment maneuver is a step-by-step increase in PEEP followed by a decremental PEEP trial. The duration of each step is usually 2 minutes without physiolog...
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ژورنال
عنوان ژورنال: British Journal of Anaesthesia
سال: 2015
ISSN: 0007-0912
DOI: 10.1093/bja/aeu385