Driving pressure guided ventilation

Autor: Hyun Joo Ahn, MiHye Park, Jie Ae Kim, Mikyung Yang, Susie Yoon, Bo Rim Kim, Jae-Hyon Bahk, Young Jun Oh, Eun-Ho Lee
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Korean Journal of Anesthesiology, Vol 73, Iss 3, Pp 194-204 (2020)
Druh dokumentu: article
ISSN: 2005-6419
2005-7563
DOI: 10.4097/kja.20041
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: Directory of Open Access Journals