Intraoperative protective ventilation strategies in lung transplantation

被引：17

作者：

Verbeek, Genna L. ^{[1
,2
]}

Myles, Paul S. ^{[1
,2
]}

机构：

[1] Alfred Hosp, Dept Anaesthesia & Perioperat Med, Melbourne, Vic 3004, Australia

[2] Monash Univ, Fac Med Nursing & Hlth Sci, Acad Board Anaesthesia & Perioperat Med, Melbourne, Vic 3004, Australia

来源：

TRANSPLANTATION REVIEWS | 2013年 / 27卷 / 01期

关键词：

RESPIRATORY-DISTRESS-SYNDROME; END-EXPIRATORY PRESSURE; RANDOMIZED CONTROLLED-TRIAL; PRIMARY GRAFT DYSFUNCTION; LOW TIDAL VOLUMES; POSTPNEUMONECTOMY PULMONARY-EDEMA; ALVEOLAR-RECRUITMENT; MECHANICAL VENTILATION; INTERNATIONAL-SOCIETY; THORACIC-SURGERY;

D O I：

10.1016/j.trre.2012.11.004

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Primary graft dysfunction (PGD) occurs in up to 25% of patients after lung transplantation. One method of reducing the risk of developing PGD is to incorporate a protective ventilation strategy in the donor, as well as after allograft implantation in the recipient, both intraoperatively and during postoperative intensive care management. However, this is not standardised practice. This review describes current approaches to protective mechanical ventilation in thoracic anaesthesia, with specific reference to intraoperative lung transplantation, including low tidal volumes, pressure-controlled versus volume-controlled ventilation, positive end-expiratory pressure and alveolar recruitment manoeuvres. (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：30 / 35

页数：6

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