A ventilation strategy during general anaesthesia to reduce postoperative atelectasis

Upsala Journal of Medical Sciences

Volumn 119, Issue 3, 2014, Pages 242-250

  Edmark, Lennart ^a,b   Auner, Udo ^c   Hallén, Jan ^d   Lassinantti Olowsson, Lena ^d   Hedenstierna, Göran ^b   Enlund, Mats ^e  

^a Västmanland Hospital Köping   (Sweden)

^b UPPSALA UNIVERSITY HOSPITAL   (Sweden)

^c För Klinisk Forskning Västmanlands Sjukhus   (Sweden)

^d ÖREBRO UNIVERSITY HOSPITAL   (Sweden)

^e Centre for Clinical Research   (Sweden)

Author keywords

Atelectasis; CPAP; General anaesthesia; Oxygen fraction; PEEP; Ventilation strategy

Indexed keywords

ADVERSE EFFECTS; ARTIFICIAL VENTILATION; CONTROLLED STUDY; GENERAL ANESTHESIA; HUMAN; POSTOPERATIVE COMPLICATIONS; PULMONARY ATELECTASIS; RANDOMIZED CONTROLLED TRIAL;

ANESTHESIA, GENERAL; HUMANS; POSTOPERATIVE COMPLICATIONS; PULMONARY ATELECTASIS; RESPIRATION, ARTIFICIAL;

EID: 84904336335     PISSN: 03009734     EISSN: None     Source Type: Journal    
DOI: 10.3109/03009734.2014.909546     Document Type: Article

References (24)

1. Hedenstierna G, Edmark L. Mechanisms of atelectasis in the perioperative period. Best Pract Res Clin Anaesthesiol. 2010; 24: 157-69
2. Hedenstierna G, Rothen HU. Respiratory function during anesthesia: Effects on gas exchange. Compr Physiol. 2012;2: 69-96
3. Coussa M, Proietti S, Schnyder P, Frascarolo P, Suter M, Spahn DR, et al. Prevention of atelectasis formation during the induction of general anesthesia in morbidly obese patients. Anesth Analg. 2004;98: 1491-5
4. Rusca M, Proietti S, Schnyder P, Frascarolo P, Hedenstierna G, Spahn DR, et al. Prevention of atelectasis formation during induction of general anesthesia. Anesth Analg. 2003;97: 1835-9
5. Benoit Z, Wicky S, Fischer JF, Frascarolo P, Chapuis C, Spahn DR, et al. The effect of increased FIO2 before tracheal extubation on postoperative atelectasis. Anesth Analg. 2002; 95: 1777-81
6. Lumb AB, Greenhill SJ, Simpson MP, Stewart J. Lung recruitment and positive airway pressure before extubation does not improve oxygenation in the post-Anaesthesia care unit: A randomized clinical trial. Br J Anaesth. 2010;104: 643-7
7. Robinson JD, Lupkiewicz SM, Palenik L, Lopez LM, Ariet M. Determination of ideal body weight for drug dosage calculations. Am J Hosp Pharm. 1983;40: 1016-19
8. O'Driscoll BR, Howard LS, Davison AG. BTS guideline for emergency oxygen use in adult patients. Thorax. 2008; 63: Vi1-68
9. Lundquist H, Hedenstierna G, Strandberg A, Tokics L, Brismar B. CT-Assessment of dependent lung densities in man during general anaesthesia. Acta Radiol. 1995;36: 626-32
10. Willett W, Stampfer MJ. Total energy intake: Implications for epidemiologic analyses. Am J Epidemiol. 1986;124: 17-27
11. Neumann P, Rothen HU, Berglund JE, Valtysson J, Magnusson A, Hedenstierna G. Positive end-expiratory pressure prevents atelectasis during general anaesthesia even in the presence of a high inspired oxygen concentration. Acta Anaesthesiol Scand. 1999;43: 295-301
12. Maisch S, Reissmann H, Fuellekrug B, Weismann D, Rutkowski T, Tusman G, et al. Compliance and dead space fraction indicate an optimal level of positive end-expiratory pressure after recruitment in anesthetized patients. Anesth Analg. 2008;106: 175-81
13. Eichenberger A, Proietti S, Wicky S, Frascarolo P, Suter M, Spahn DR, et al. Morbid obesity and postoperative pulmonary atelectasis: An underestimated problem. Anesth Analg. 2002; 95: 1788-92
14. Strandberg A, Tokics L, Brismar B, Lundquist H, Hedenstierna G. Constitutional factors promoting development of atelectasis during anaesthesia. Acta Anaesthesiol Scand. 1987;31: 21-4
15. Milic-Emili J, Torchio R, D'Angelo E. Closing volume: Areappraisal(1967-2007).EurJApplPhysiol.2007;99: 567-83
16. Kang H, Park HJ, Baek SK, Choi J, Park SJ. Effects of preoxygenation with the three minutes tidal volume breathing technique in the elderly. Korean J Anesthesiol. 2010;58: 369-73
17. McCarthy G, Elliott P, Mirakhur RK, McLoughlin C. A comparison of different pre-oxygenation techniques in the elderly. Anaesthesia. 1991;46: 824-7
18. Edmark L, Auner U, Lindbäck J, Enlund M, Hedenstierna G. Postoperative atelectasis-A randomised trial investigating CPAP/PEEP during anaesthesia and FIO2 0.3 before extubation. Acta Anaesthesiol Scand. 2014; forthcoming; Doi: 10.1111/aas.12322
19. Benatar SR, Hewlett AM, Nunn JF. The use of iso-shunt lines for control of oxygen therapy. Br J Anaesth. 1973;45: 711-18
20. Zetterström H. A slide-rule for assessment of venous admixture. Acta Anaesthesiol Scand. 1989;33: 250-4
21. Tanoubi I, Drolet P, Donati F. Optimizing preoxygenation in adults. Can J Anaesth. 2009;56: 449-66
22. Edmark L, Auner U, Enlund M, Östberg E, Hedenstierna G. Oxygen concentration and characteristics of progressive atelectasis formation during anaesthesia. Acta Anaesthesiol Scand. 2011;55: 75-81
23. Licker MJ, Aldenkortt M. Perioperative lung protective strategies. J Pulmonar Respirat Med. 2012;S2: 002-doi: 10. 4172/2161-105X.S2-002
24. Aldenkortt M, Lysakowski C, Elia N, Brochard L, Tramer MR. Ventilation strategies in obese patients undergoing surgery: A quantitative systematic review and metaanalysis. Br J Anaesth. 2012;109: 493-502.