منابع مشابه
Perioperative lung protective strategies
The traditional intraoperative ventilatory settings (tidal volume > 10 ml/kg ideal body weight) can be harmful even in patients with healthy lungs. In the operating theatre, safe anesthesia and optimization of oxygen delivery should be achieved while minimizing the deleterious effects of surgical trauma and avoiding iatrogenic complications. This review examines the mechanisms of perioperative ...
متن کاملPerioperative lung protective ventilation in obese patients
The perioperative use and relevance of protective ventilation in surgical patients is being increasingly recognized. Obesity poses particular challenges to adequate mechanical ventilation in addition to surgical constraints, primarily by restricted lung mechanics due to excessive adiposity, frequent respiratory comorbidities (i.e. sleep apnea, asthma), and concerns of postoperative respiratory ...
متن کاملProtective strategies for one-lung ventilation
provided the original work is properly cited. CC Hypoxemia and acute lung injury (ALI) are major concerns with one-lung ventilation (OLV) during thoracic surgery. Hypoxemia is usually the result of alveolar hypoventilation and an increasing shunt fraction, whereas ALI is caused by ventilatory stress (volutrauma, atelectrauma, and barotrauma), reexpansion pulmonary injury, and the lung surgery i...
متن کاملPerioperative protective effects of statins
Although statins decrease cholesterol synthesis, they also possess 'pleiotropic' effects, such as enhancing the function of vascular endothelium and the stability of atherosclerotic plaques. Furthermore, they attenuate oxidative stress, inflammation, and the prothrombotic response. These diverse biological actions may explain their perioperative protective effects, especially in patients underg...
متن کاملRESPIRATION AND THE AIRWAY Lung protective strategies in anaesthesia
Key points † Mechanical ventilation can have adverse effects on pulmonary function by several distinct mechanisms. † Patients undergoing one-lung ventilation or cardiopulmonary bypass are at increased risk of developing acute lung injury (ALI). † Protective ventilatory strategies may prevent or reduce ALI. † There is a lack of randomized controlled trials to guide optimal intra-operative ventil...
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ژورنال
عنوان ژورنال: Journal of Pulmonary & Respiratory Medicine
سال: 2012
ISSN: 2161-105X
DOI: 10.4172/2161-105x.s2-002