Key result
High-PEEP protective ventilation during abdominal surgery improves respiratory function and reduces clinical pulmonary infection scores.
Why the study?
Postoperative pulmonary complications after abdominal surgery are a leading cause of morbidity and mortality, and the optimal intraoperative mechanical ventilation strategy to minimize these complications is not well established.
Does a protective ventilatory strategy improve respiratory function and reduce pulmonary infection scores in patients undergoing moderate/large abdominal surgery?
Population
Patients undergoing moderate/large abdominal surgery lasting more than 2 hours
Comparison
Protective ventilatory strategy with physiological tidal volumes and high PEEP vs standard ventilation
Design
Editorial discussing a clinical study
Follow-up
5 days
Authors
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May reduce postoperative pulmonary morbidity in abdominal surgery; leaves open confirmation in large RCTs with clinical endpoints.
Does a protective ventilatory strategy improve respiratory function and reduce pulmonary infection scores in patients undergoing moderate/large abdominal surgery?
This editorial highlights that a protective mechanical ventilation strategy during abdominal surgery may reduce postoperative respiratory morbidity.
Melo et al. (2013) conducted an editorial in Abdominal surgery (n=28). Protective ventilatory strategy (physiological tidal volumes and high PEEP) vs. Standard ventilation (PEEP 0 cm H2O, tidal volume 9.5 ml/kg) was evaluated on Respiratory function and clinical pulmonary infection score. A protective ventilatory strategy with physiological tidal volumes and high PEEP during abdominal surgery improved respiratory function and reduced clinical pulmonary infection scores.
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