Protective ventilation during cardiac surgery: More than tidal volume?
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Anaesth Crit Care Pain Med. 2017, vol. 36, n° 2, p. 133–134
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Extrapolation of the positive results associated with the protective ventilation of critical care patients with acute respiratory distress syndrome has suggested that preventive lung-protective ventilation could improve ...Leer más >
Extrapolation of the positive results associated with the protective ventilation of critical care patients with acute respiratory distress syndrome has suggested that preventive lung-protective ventilation could improve high-risk surgical patient outcomes [1]. In the IMPROVE study, the authors used an integrated approach to protective ventilation and used three items to establish the “protective ventilation” strategy: low tidal volume (6 to 8 mL per kg predicted body weight), positive end-expiratory pressure (PEEP) and repeated recruitment manoeuvres. However, the respective importance of each item in protective ventilation remains unknown at the present time [2]. The strategy using low tidal volume appears to be the most extensively studied strategy, demonstrating high clinical utility in several surgical procedures [3]. ...< Leer menos
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