Driving pressure guided ventilation

Korean Journal of Anesthesiology

Young Jun Oh¹  Eun-Ho Lee²  MiHye Park³  Mikyung Yang³  Hyun Joo Ahn³  Jie Ae Kim³  Susie Yoon⁴  Jae-Hyon Bahk⁴  Bo Rim Kim⁴ 

[1] Department of Anesthesiology and Pain Medicine Yonsei University College of Medicine, Seoul, Korea;Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea;Department of Anesthesiology and Pain Medicine, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea;Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea;

关键词: driving pressure;    positive end-expiratory pressure;    postoperative complications;    protective ventilation;   

DOI  :  10.4097/kja.20041

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown