Journal
KOREAN JOURNAL OF ANESTHESIOLOGY
Volume 73, Issue 3, Pages 194-204Publisher
KOREAN SOC ANESTHESIOLOGISTS
DOI: 10.4097/kja.20041
Keywords
Driving pressure; Positive end-expiratory pressure; Postoperative complications; Protective ventilation
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Protective ventilation is a prevailing ventilatory strategy these days and is comprised of small tidal volume, limited inspiratory pressure, and application of positive end-expiratory pressure (PEEP). However, several retrospective studies recently suggested that tidal volume, inspiratory pressure, and PEEP are not related to patient outcomes, or only related when they influence the driving pressure. Therefore, this review introduces the concept of driving pressure and looks into the possibility of driving pressure-guided ventilation as a new ventilatory strategy, especially in thoracic surgery where postoperative pulmonary complications are common, and thus, lung protection is of utmost importance.
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