Perioperative medicine & outcomes

Perioperative ventilation support, what clinicians and searchers must know

Anaesth Crit Care Pain MedPublished Narrative review

Authors' conclusion

Despite the inevitability of respiratory function alterations after surgery and anesthesia, perioperative interventions can significantly reduce complications.

Study context

Population
Surgical patients, especially after abdominal, thoracic, or cardiac surgery

Main finding

As reported in the abstract

  • Postoperative pulmonary complications (PPC) affect over 10% of surgical patients
  • Positive pressure pre-oxygenation enhances intubation safety and prevents decrease in lung volumes
  • Intraoperative lung-protective ventilation (low to moderate tidal volumes based on predicted body weight, PEEP, careful recruitment maneuvers) effective in decreasing PPC
  • Roles of noninvasive ventilation (NIV) and high-flow nasal oxygenation (HFNO) in preventing PPC remain to be clarified
  • Curative NIV is the gold standard to treat postoperative acute respiratory failure (ARF) vs conventional oxygen therapy or HFNO

Original publication

Perioperative ventilation support, what clinicians and searchers must know. Anaesth Crit Care Pain Med. Published 22 May 2025. doi:10.1016/j.accpm.2025.101554

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