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2022, Number 3

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Acta Med 2022; 20 (3)

Use of lung protective measures and mechanical power in adults undergoing mechanical ventilation under general anesthesia in a tertiary hospital

Nava AA, Alva ANV, López GLA, Athié GJM, Alberti MP
Full text How to cite this article 10.35366/105727

DOI

DOI: 10.35366/105727
URL: https://dx.doi.org/10.35366/105727

Language: Spanish
References: 12
Page: 245-249
PDF size: 160.08 Kb.


Key words:

Anesthesiologists, lung protection, mechanical power.

ABSTRACT

Mechanical ventilation is a fundamental part of intraoperative management. This can be harmful even in healthy lungs, for this reason, protective ventilation strategies have been proposed. The present study wants to identify the frequency with which all lung protection measures and mechanical power are used during the transanesthetic period. Material and methods: A cross-sectional study was carried out with all patients undergoing general anesthesia and mechanical ventilation between September-2020 and January-2021, we divided the subjects into two groups (total or partial parameters of lung protection) and demographic and ventilatory variables were analyzed. Results: 66 subjects were analyzed, the full use of lung protection parameters in 59%(n = 39). Open abdominal surgeries (37.5%) and emergency surgeries (41.6%) were the most difficult to achieve complete lung protection. Conclusions: The majority of anesthesiologists used the lung protection parameters and the correct mechanical power; these concepts have yet to be permeated to reach the totality.


REFERENCES

  1. Santamaría SE. Parámetros de protección pulmonar durante la ventilación mecánica intraoperatoria en una Unidad Médica de Alta Especialidad [Médico Especialista en Anestesiología]. Universidad Nacional Autónoma de México; 2020.

  2. Ball L, Costantino F, Orefice G, Chandrapatham K, Pelosi P. Intraoperative mechanical ventilation: state of the art. Minerva Anestesiol. 2017; 83 (10): 1075-1088.

  3. Liu J, Meng Z, Lv R, Zhang Y, Wang G, Xie J. Effect of intraoperative lung-protective mechanical ventilation on pulmonary oxygenation function and postoperative pulmonary complications after laparoscopic radical gastrectomy. Braz J Med Biol Res. 2019; 52 (6): e8523.

  4. O'Gara B, Talmor D. Perioperative lung protective ventilation. BMJ. 2018; 362: k3030.

  5. Guay J, Ochroch EA, Kopp S. Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of stay and lung injury in adults without acute lung injury. Cochrane Libr. 2018; (7). Available in: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011151.pub3/full

  6. Montoya J, Cornejo R. Driving Pressure, bases fisiológicas y aplicaciones clínicas. Rev Chil Med Intensiv. 2019; 34(3): 1-5.

  7. Pérez-Nieto OR, Deloya-Tomás E, Lomelí-Terán JM, Pozos-Cortés KP, Monares-Zepeda E, Poblano-Morales MN. Presión de distensión (driving pressure): principal objetivo para la protección alveolar. Neumol Cir Torax. 2018; 77 (3): 222-227.

  8. Kacmarek RM, Villar J. Lung-protective ventilation in the operating room: individualized positive end-expiratory pressure is needed! Anesthesiology. 2018; 129 (6): 1057-1059.

  9. Gómez Ramírez JI, Monares Zepeda E, González Carmona BG, Camarena Alejo G, Aguirre Sánchez JS, Franco Granillo J. Determinación del poder mecánico en pacientes en ventilación mecánica invasiva en modalidad espontánea. Med Crit. 2018; 32 (1): 20-26.

  10. Cressoni M, Gotti M, Chiurazzi C, Massari D, Algieri I, Amini M et al. Mechanical power and development of ventilator-induced lung injury. Anesthesiology. 2016; 124 (5): 1100-1108.

  11. Gama de Abreu M, Schultz MJ, Serpa Neto A, Pelosi P. Open-lung ventilation strategy during general anesthesia. Anesthesiology. 2020; 133 (5): 982-984.

  12. Pearse RM, Abbott TE, Haslop R, Ahmad T, Kahan BC, Filipini C et al. The prevention of respiratory insufficiency after surgical management (prism) trial. report of the protocol for a pragmatic randomized controlled trial of CPAP to prevent respiratory complications and improve survival following major abdominal surgery. Minerva Anestesiol. 2017; 83 (2): 175-182.




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Acta Med. 2022;20