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Open AccessJournal ArticleDOI

Individual Positive End-expiratory Pressure Settings Optimize Intraoperative Mechanical Ventilation and Reduce Postoperative Atelectasis

Sérgio Pereira, +9 more
- 01 Dec 2018 - 
- Vol. 129, Iss: 6, pp 1070-1081
TLDR
PEEP requirements vary widely among patients receiving protective tidal volumes during anesthesia for abdominal surgery, and individualized PEEP settings could reduce postoperative atelectasis while improving intraoperative oxygenation and driving pressures, causing minimum side effects.
Abstract: 
Editor’s PerspectiveWhat We Already Know about This TopicIn patients with adult respiratory distress syndrome, physiologic tidal volume and positive end-expiratory pressure (PEEP) are protectiveIn patients without lung diseases undergoing mechanical ventilation under general anesthesia, optimal PEEP

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Journal ArticleDOI

Obesity in the critically ill: a narrative review.

Miet Schetz, +11 more
- 19 Mar 2019 - 
TL;DR: In hospitalized and ICU patients and in patients with chronic illnesses, a J-shaped relationship between BMI and mortality has been demonstrated, with overweight and moderate obesity being protective compared with a normal BMI or more severe obesity (the still debated and incompletely understood “obesity paradox”).
Journal ArticleDOI

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

Thomas Bluth, +298 more
- 18 Jun 2019 - 
TL;DR: An intraoperative higher level of positive end-expiratory positive pressure (PEEP) with alveolar recruitment maneuvers improves respiratory function in obese patients undergoing surgery, but the effect on clinical outcomes is uncertain.
Journal ArticleDOI

Lung-protective ventilation for the surgical patient: international expert panel-based consensus recommendations.

Christopher C. Young, +15 more
- 01 Dec 2019 - 
TL;DR: Recommendations are made that a dedicated score should be used for preoperative pulmonary risk evaluation, and an individualised mechanical ventilation may improve the mechanics of breathing and respiratory function, and prevent PPCs.
Journal ArticleDOI

Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update

Erik Stenberg, +9 more
- 04 Jan 2022 - 
TL;DR: The second updated Enhanced Recovery After Surgery (ERAS®) Society guideline, presented a consensus for optimal perioperative care in bariatric surgery and providing recommendations for each ERAS item within the ERAS® protocol as discussed by the authors .
Journal ArticleDOI

Ventilation in patients with intra-abdominal hypertension: what every critical care physician needs to know

Adrian Regli, +4 more
- 25 Apr 2019 - 
TL;DR: This review will focus on how to deal with the respiratory derangements in critically ill patients with IAH and the optimal PEEP levels in these patients is still unknown.
References
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Journal ArticleDOI

Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses.

Franz Faul, +3 more
- 01 Nov 2009 - 
TL;DR: In the new version, procedures to analyze the power of tests based on single-sample tetrachoric correlations, comparisons of dependent correlations, bivariate linear regression, multiple linear regression based on the random predictor model, logistic regression, and Poisson regression are added.
Journal ArticleDOI

Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome.

Roy G. Brower, +5 more
- 04 May 2000 - 
TL;DR: In patients with acute lung injury and the acute respiratory distress syndrome, mechanical ventilation with a lower tidal volume than is traditionally used results in decreased mortality and increases the number of days without ventilator use.
Journal ArticleDOI

Driving Pressure and Survival in the Acute Respiratory Distress Syndrome

Marcelo B. P. Amato, +13 more
- 18 Feb 2015 - 
TL;DR: It is found that ΔP was the ventilation variable that best stratified risk and decreases in ΔP owing to changes in ventilator settings were strongly associated with increased survival.
Journal ArticleDOI

A trial of intraoperative low-tidal-volume ventilation in abdominal surgery.

Emmanuel Futier, +16 more
- 31 Jul 2013 - 
TL;DR: The use of a lung-protective ventilation strategy in intermediate-risk and high-risk patients undergoing major abdominal surgery was associated with improved clinical outcomes and reduced health care utilization.
Journal ArticleDOI

Pulmonary densities during anesthesia with muscular relaxation--a proposal of atelectasis.

Bo Brismar, +5 more
- 01 Apr 1985 - 
TL;DR: It is suggested that these crest-shaped densities represent atelectases, which develop by compression of lung tissue rather than by resorption of gas.
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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.

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High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial.

Sabrine N.T. Hemmes, +3 more
- 09 Aug 2014 - 

A trial of intraoperative low-tidal-volume ventilation in abdominal surgery.

Emmanuel Futier, +16 more
- 31 Jul 2013 - 

Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in Patients With Acute Respiratory Distress Syndrome A Randomized Clinical Trial

Alexandre Biasi Cavalcanti, +30 more
- 10 Oct 2017 - 

Driving Pressure and Survival in the Acute Respiratory Distress Syndrome

Marcelo B. P. Amato, +13 more
- 18 Feb 2015 -