![]() Within 30-60 minutes of extubation, each patient had a chest CT performed and those with the personalized PEEP settings had: 2įurthermore, no pulmonary complications were found postoperatively, and no adverse events were noted associated with the recruitment maneuver. ![]() This setting was determined by using electrical impedance tomography. However, during the surgery, the patients were divided into two categories – one group was ventilated with 4 cm H 2O PEEP and the other was ventilated with PEEP settings that “resulted in the least collapse and least overdistention”. All patients received the same recruitment maneuvers going into surgery and were extubated without any change to PEEP or fractional inspired oxygen tension. Improve Pulmonary Function PostoperativelyĪ trial involving a small number of patients ( n=40) compared patients undergoing surgery for abdominal surgery without any prior lung disease. This article explores three benefits and highlights the importance of highly individualized PEEP during surgery. Although there are no formal guidelines, there have been studies exploring the benefits of individualized PEEP as well as censuses-based recommendations have been made by experts around the globe. 2Ī plausible reason for a lack of conclusive guidelines and settings is the need for highly individualized PEEP settings. In fact, the only established guidelines state to use ‘high’ or ‘low’ PEEP depending on the patient’s respiratory status. 1Īchieving therapeutic tidal volumes and positive end-expiratory pressure (PEEP) are vital to lung-protective ventilation but concrete guidelines for these interventions continues to be of controversy.Įstablishing guidelines for patients specifically around PEEP in the operating room has been a challenge. PCCs are associated with increased morbidity and mortality, and using lung-protective ventilation can help reduce the risk of PCCs with the goal of improving patient outcomes. ![]() ![]() Postoperative pulmonary complications (PCCs) occur as frequently as cardiac complications during noncardiac related surgeries. ![]()
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