Federico Longhini, Laura Pasin, Claudia Montagnini, Petra Konrad, Andrea Bruni, Eugenio Garofalo, Paolo Murabito, Corrado Pelaia, Valentina Rondi, Fabrizio Dellapiazza, Gianmaria Cammarota, Rosanna Vaschetto, Marcus J Schultz, Paolo Navalesi
BACKGROUND: Post-operative pulmonary complications (PPC) can develop in up to 13% of patients undergoing neurosurgical procedures and may adversely affect clinical outcome. The use of intraoperative lung protective ventilation (LPV) strategies, usually including the use of a low Vt , low PEEP and low plateau pressure, seem to reduce the risk of PPC and are strongly recommended in almost all surgical procedures. Nonetheless, feasibility of LPV strategies in neurosurgical patients are still debated because the use of low Vt during LPV might result in hypercapnia with detrimental effects on cerebrovascular physiology...
June 30, 2021: BMC Anesthesiology