Lung protective strategies in anaesthesia

被引：92

作者：

Kilpatrick, B. ^{[1
]}

Slinger, P. ^{[1
]}

机构：

[1] Toronto Gen Hosp, Dept Anaesthesia, Toronto, ON M5G 2C4, Canada

来源：

BRITISH JOURNAL OF ANAESTHESIA | 2010年 / 105卷

关键词：

lung injury; acute; ventilator-induced; ventilation; mechanical; FREQUENCY OSCILLATORY VENTILATION; RESPIRATORY-DISTRESS-SYNDROME; END-EXPIRATORY PRESSURE; CARBON-DIOXIDE REMOVAL; POSTPNEUMONECTOMY PULMONARY-EDEMA; TIDAL VOLUME; MECHANICAL VENTILATION; ALVEOLAR RECRUITMENT; HYPERCAPNIC ACIDOSIS; CARDIOPULMONARY BYPASS;

D O I：

10.1093/bja/aeq299

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Patients are at risk for several types of lung injury in the perioperative period including atelectasis, pneumonia, pneumothorax, acute lung injury, and acute respiratory distress syndrome. Anaesthetic management can cause, exacerbate, or ameliorate these injuries. This review examines the effects of perioperative mechanical ventilation and its role in ventilator-induced lung injury. Lung protective ventilatory strategies to specific clinical situations such as cardiopulmonary bypass and one-lung ventilation along with newer novel lung protective strategies are discussed.

引用

页码：I108 / I116

页数：9

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