Perioperative lung protective ventilation in obese patients

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 ...

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 ...

Perioperative lung protection for obese patients EFFECTIVE PRE-OXYGENATION AND INDUCTION IN OBESE PATIENTS

Perioperative lung-protective ventilation strategy reduces postoperative pulmonary complications in patients undergoing thoracic and major abdominal surgery

The occurrence of postoperative pulmonary complications is strongly associated with increased hospital mortality and prolonged postoperative hospital stays. Although protective lung ventilation is commonly used in the intensive care unit, low tidal volume ventilation in the operating room is not a routine strategy. Low tidal volume ventilation, moderate positive end-expiratory pressure, and rep...

Lung 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...