Respiratory failure & ventilation
Ventilation strategy during urological and gynaecological robotic-assisted surgery: a narrative review
Authors' conclusion
we conclude that the best PEEP in terms of lung mechanics, gas exchange, and ventilation distribution has not been defined, but moderate PEEP levels (4-8 cm H2O) could be associated with better outcomes than lower or highest levels.
Study context
- Population
- Patients undergoing urological and gynaecological robotic-assisted surgery with steep Trendelenburg positioning and pneumoperitoneum31 articles
- Comparison
- Ventilation strategies during robotic-assisted surgery
Methodological detailsPubMed/MEDLINE literature search
- PubMed/MEDLINE literature search
Main finding
As reported in the abstract
- Best positive end-expiratory pressure (PEEP) for lung mechanics, gas exchange and ventilation distribution not defined; moderate PEEP (4-8 cm H2O) could be associated with better outcomes than lower or highest levels
- Recruitment manoeuvres improved intraoperative arterial oxygenation, end-expiratory lung volume and ventilation distribution to dependent (dorsal) lung regions
- Pressure-controlled vs volume-controlled ventilation: lower peak airway pressures, higher compliance and higher CO2 clearance
Original publication
Ventilation strategy during urological and gynaecological robotic-assisted surgery: a narrative review. Br J Anaesth. Published 3 August 2023. doi:10.
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