Vital Capacity and Cycling
It is well known that atelectasis occurs during general anaesthesia and can persist postoperatively, contributing to significant post-operative complications with additional healthcare costs.2
Recruitment maneuvers (RMs) are intended to open collapsed alveoli by applying transient increases in transpulmonary pressure. Until now, this has been delivered manually by the caregiver during the case. The Aisys CS2 and Avance CS2 Carestations introduce two lung ventilation procedures to help caregivers in dealing with atelectasis.
Vital Capacity procedure automates the manual bag ‘squeeze and hold.' PEEP can be programmed at the end of the procedure thus helping to prevent derecruitment.
Cycling is a tool that allows the clinician to design a lung mechanics manoeuvre, to stepwise increase and decrease PEEP in programmable increments or decrements, during mechanical ventilation, with the aim of helping the clinician reopen the alveoli and keep them open.
2. Magnusson L, Spahn DR. New concepts of atelectasis during general anaesthesia. Br J Anaesth. 2003; 91(1): 61-72.
Lung protection during surgery: current evidence and practice recommendations
Duke University Medical Centre and GE Healthcare have setup an expert group which discussed current evidence and practice recommendations for Lung protection during surgery. Listen to Christopher Young (Durham, NC, USA) for the introduction and overview on a recent symposium during ESA 2019 in Vienna.
Lung Protection at case set up/induction of anaesthesia
Listen to Emmanuel Futier (Clermont-Ferrand, France) talking about Lung Protection at case set up/induction of anaesthesia.
Lung Protection during maintenance of anaesthesia
Listen to Paolo Pelosi (Genova, Italy) talking about Lung Protection during maintenance of anaesthesia.
Lung Protection on emergence from anaesthesia
Listen to Marcelo Gama de Abreu (Dresden, Germany) talking about Lung Protection on emergence from anaesthesia.