Individualized positive end-expiratory pressure in obese patients during general anaesthesia: A randomized controlled clinical trial using electrical impedance tomography
British Journal of Anesthesia Oct 21, 2017
Nestler C, et al. - It was presumed that a combination of a recruitment manoeuvre (RM) and individualized positive end-expiratory pressure (PEEP) can avoid general anaesthesia-induced atelectasis, reduced end-expiratory lung volume (EELV), and diminished arterial oxygenation in obese patients. Findings demonstrated that an RM and higher PEEPIND restored EELV, regional ventilation distribution, and oxygenation during anaesthesia in obese patients, but these differences did not persist after extubation. It was, therefore, recommended that lung protection strategies should include the postoperative period.
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