jueves, 7 de septiembre de 2017

Más de ventilación perioperatoria / More on perioperative ventilation

Septiembre 7, 2017. No. 2804





Efectos de la ventilación mecánica intraoperatoria y de la ventilación de protección pulmonar en el paciente quirúrgico adulto
Peris-Montalt R, Cruz-García-Dihinx I, Errando C, Granell M.
MÉD.UIS. 2015;28(1):65-78.
Conceptos actuales de ventilación protectora durante la anestesia general.
Current concepts of protective ventilation during general anaesthesia.
Swiss Med Wkly. 2015 Nov 12;145:w14211. doi: 10.4414/smw.2015.14211. eCollection 2015.
Abstract
Mechanical ventilation with high tidal volumes (VT) has been common practice in operating theatres because this strategy recruits collapsed lung tissue and improves ventilation-perfusion mismatch, thus decreasing the need for high inspired oxygen concentrations. Positive end-expiratory pressure (PEEP) was not used routinely because it was thought to impair cardiovascular function. Over the past two decades there have been advances in our understanding of the causes and importance of ventilation-induced lung injury based on studies in animals with healthy lungs, and trials in critically ill patients with and without acute respiratory distress syndrome. Recent data from randomised controlled trials in patients receiving ventilation during general anaesthesia for surgery have demonstrated that lung-protective strategies (use of low VT, use of PEEP if indicated, and avoidance of excessive oxygen concentrations) are also of importance during intraoperative ventilation.


XIV Congreso Virtual Mexicano de Anestesiología 2017
Octubre 1-Diciembre 31, 2017
Información / Information
Convocatoria para el Curso de Posgrado en Medicina del Dolor y Paliativa 2018 para Mexicanos y extranjeros.
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
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California Society of Anesthesiologists
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