منابع مشابه
Perioperative 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 کاملPerioperative 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 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 کاملLung protective ventilation in the intraoperative period.
To the Editor: We read with interest the article titled “A Description of Intraoperative Ventilator Management in Patients with Acute Lung Injury and the Use of Lung Protective Ventilation Strategies.” It was also discussed in detail during our journal club as part of the departmental training program. The concept and the idea behind the article are very interesting and thought-provoking and we...
متن کاملLung protective ventilation in Cardiac Surgery
Multicenter, randomized, controlled trials and meta-analyses have demonstrated that, during abdominal surgery, protective ventilation, based on low tidal volumes, positive end-expiratory pressure, and recruitment maneuvers improves postoperative outcomes (1). Protective ventilation strategies are aimed at preventing alveolar over-distension, cyclic opening and closure of peripheral airways, tra...
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ژورنال
عنوان ژورنال: BMJ
سال: 2018
ISSN: 0959-8138,1756-1833
DOI: 10.1136/bmj.k3030