2022, Number 3
Use of lung protective measures and mechanical power in adults undergoing mechanical ventilation under general anesthesia in a tertiary hospital
Language: Spanish
References: 12
Page: 245-249
PDF size: 160.08 Kb.
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
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
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.