Changing Default Ventilator Settings on Anesthesia Machines Improves Adherence to Lung-Protective Ventilation Measures.
Anesth Analg
; 126(4): 1219-1222, 2018 04.
Article
em En
| MEDLINE
| ID: mdl-29200060
ABSTRACT
Perioperative lung-protective ventilation (LPV) can reduce perioperative pulmonary morbidity. We hypothesized that modifying default anesthesia machine ventilator settings would increase the use of intraoperative LPV. Default tidal volume settings on our anesthesia machines were decreased from 600 to 400 mL, and default positive end-expiratory pressure was increased from 0 to 5 cm H2O. This modification increased mean positive end-expiratory pressure from 3.1 to 5.0 cm H2O and decreased mean tidal volume from 8.2 to 6.7 mL/kg predicted body weight. Notably, increased adherence to LPV from 1.6% to 23.0% occurred quickly with the rate of increase more than doubling from 1.8% to 3.9% per year.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Respiração Artificial
/
Ventiladores Mecânicos
/
Lesão Pulmonar Induzida por Ventilação Mecânica
/
Anestesia Geral
/
Pulmão
Tipo de estudo:
Etiology_studies
/
Guideline
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Anesth Analg
Ano de publicação:
2018
Tipo de documento:
Article