Optimizing Mechanical Ventilation During General Anesthesia.
Optimal mechanical ventilatory support is a vital component of intraoperative anesthesia care, lung protection, and minimizing postoperative pulmonary sequela. Although concepts surrounding ventilation can be multifaceted and ambiguous, a pragmatic approach coupled with contemporary evidence and ski...
| Publicado en: | AANA Journal Vol. 88; no. 2; pp. 149 - 158 |
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| Autor principal: | |
| Formato: | CEU equations & formulas Journal Article |
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American Association of Nurse Anesthetists
Apr2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142620094&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142620094 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00946354 GLR jtl: AANA Journal issn: 00946354 maglogo: N pubinfo: dt: Apr2020 vid: 88 iid: 2 pid: 11824 pub: American Association of Nurse Anesthetists place: Park Ridge, Illinois artinfo: ui: 142620094 142620094 142620094 142620094 ppf: 149 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Optimizing Mechanical Ventilation During General Anesthesia. aug: au: Wright, G. Troy affil: Chair of the Doctor of Nurse Anesthesia Practice Program, School of Nursing and Human Physiology, Gonzaga University sug: subj: Respiration, Artificial Anesthesia, General Positive End-Expiratory Pressure Anesthetists Ventilator-Induced Lung Injury Education, Continuing (Credit) Hyperinflation Positive Pressure Ventilation Pressure Support Ventilation ab: Optimal mechanical ventilatory support is a vital component of intraoperative anesthesia care, lung protection, and minimizing postoperative pulmonary sequela. Although concepts surrounding ventilation can be multifaceted and ambiguous, a pragmatic approach coupled with contemporary evidence and skilled assessments will facilitate ideal intraoperative management. Effective mechanical ventilation is dependent on obtaining the best pulmonary mechanics, including compliance, resistance, and gas exchange. Optimally titrated positive end-expiratory pressure is the foundation for ideal pulmonary mechanics, preventing ventilator-induced lung injury, and minimizing postoperative pulmonary complications. A knowledgeable application of pressure support ventilation can offer additional advantages during general anesthesia and emergence, providing synchronized ventilation and augmenting the patient's own respiratory efforts. These concepts, coupled with clinical expertise, will offer insight into the methods, tools, and techniques available to modern anesthetists. pubtype: Academic Journal doctype: CEU equations & formulas Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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