Lung Protective Ventilation

Applying intraoperative lung protective ventilation1

Globally, more than 200 million patients undergo general anaesthesia and receive mechanical ventilation every year. Overall, General anaesthesia is an effective method for enabling surgical procedures. Mechanical ventilation is an essential support during general anaesthesia, but sometimes it may contribute to impaired respiratory function.

Protective ventilation strategies have been used in critical care medicine and can be translated to the operating room with the aim of improving postoperative outcomes. Growing evidence suggests that prophylactic lung protective ventilation strategies, using low tidal volumes, individualized positive end expiratory pressure (PEEP) and recruitment manoeuvres (RMs) as appropriate, can minimize the incidence of postoperative pulmonary complications (PPCs).¹

1Futier E, et al. A trial of intraoperative low-tidal-volume ventilation in abdominal surgery. New England Journal of Medicine. 2013; 369(5): 428-437.

https://www.nejm.org/doi/full/10.1056/NEJMoa1301082

Vital Capacity and Cycling

  • Lung protection during surgery: current evidence and practice recommendations

  • Lung Protection at case set up/induction of anaesthesia

  • Lung Protection during maintenance of anaesthesia

  • Lung Protection on emergence from anaesthesia

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