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Driving pressure guided ventilation
DOI:10.4097/kja.20041.png)
摘要
En 中文
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.
Keyword:
Driving pressure
Positive end-expiratory pressure
Postoperative complications
Protective ventilation
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6.3
论文数:
597
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4.4K
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引用论文
Does a Protective Ventilation Strategy Reduce the Risk of Pulmonary Complications After Lung Cancer Surgery? A Randomized Controlled Trial
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Ventilatory Protective Strategies during Thoracic Surgery Effects of Alveolar Recruitment Maneuver and Low-tidal Volume Ventilation on Lung Density Distribution
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Management of One-lung Ventilation Impact of Tidal Volume on Complications after Thoracic Surgery
ANESTHESIOLOGY
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Effect of Intraoperative High Positive End-Expiratory Pressure (PEEP) With Recruitment Maneuvers vs Low PEEP on Postoperative Pulmonary Complications in Obese Patients A Randomized Clinical Trial术中高呼气末正压 (PEEP) 联合复张动作与低PEEP对肥胖患者术后肺部并发症的影响一项随机临床试验
Association between driving pressure and development of postoperative pulmonary complications in patients undergoing mechanical ventilation for general anaesthesia: a meta-analysis of individual patient data驾驶压力与全身麻醉机械通气患者术后肺部并发症的关系: 个体患者数据的荟萃分析
Positive end-expiratory pressure setting in adults with acute lung injury and acute respiratory distress syndrome - A randomized controlled trial急性肺损伤和急性呼吸窘迫综合征成人的呼气末正压设置-一项随机对照试验

