Driving pressure guided ventilation

Autor: Bo Rim Kim, Jae-Hyon Bahk, Hyun Joo Ahn, MiHye Park, Susie Yoon, Mikyung Yang, Jie Ae Kim, Eun-Ho Lee, Young Jun Oh
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Korean Journal of Anesthesiology, Vol 73, Iss 3, Pp 194-204 (2020)
Korean Journal of Anesthesiology
ISSN: 2005-7563
2005-6419
Popis: Protective ventilation is a prevailing ventilatory strategy these days and is comprised of small tidal volume, limited inspiratory pressure, and application of positive end-expiratory pressure (PEEP). However, several retrospective studies recently suggested that tidal volume, inspiratory pressure, and PEEP are not related to patient outcomes, or only related when they influence the driving pressure. Therefore, this review introduces the concept of driving pressure and looks into the possibility of driving pressure-guided ventilation as a new ventilatory strategy, especially in thoracic surgery where postoperative pulmonary complications are common, and thus, lung protection is of utmost importance.
Databáze: OpenAIRE