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The Increasing Call for Protective Ventilation During Anesthesia—Reply

The Increasing Call for Protective Ventilation During Anesthesia—Reply Letters Although ongoing preparedness in trauma surgery is nec- requirement. Notwithstanding that both have been consid- essary for today’s military surgeon, a military-civilian part- ered mild postoperative pulmonary complications, they might nership beyond trauma care is mutually beneficial. The mili- also play a role as triggering factors in a potentially hazardous tary faculty supports UCD’s mission in clinical care and chain of events. research, while UCD helps train the next generation of mili- An emerging concept is that ventilator-induced lung in- tary surgeons and provides a busy clinical and academic en- jury should be prevented whenever possible. There is grow- vironment for sustainment of readiness and professional en- ing recognition that most postoperative pulmonary compli- hancement. This model could be expanded to other specialties cations occur as a 2-hit phenomenon, mechanical ventilation as well as midlevel health care professionals, nurses, and op- being the second hit. Positron emission tomography studies 18 18 erating room technicians. using F fluorodeoxyglucose ( F-FDG), an inflammatory marker, revealed that F-FDG uptake in normal lungs was as- Jamie E. Anderson, MD, MPH sociated with high tidal regional strain, even when global strain Elizabeth A. David, MD remained at presumably safe ranges. A surprisingly high http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

The Increasing Call for Protective Ventilation During Anesthesia—Reply

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The Increasing Call for Protective Ventilation During Anesthesia—Reply

Abstract

Letters Although ongoing preparedness in trauma surgery is nec- requirement. Notwithstanding that both have been consid- essary for today’s military surgeon, a military-civilian part- ered mild postoperative pulmonary complications, they might nership beyond trauma care is mutually beneficial. The mili- also play a role as triggering factors in a potentially hazardous tary faculty supports UCD’s mission in clinical care and chain of events. research, while UCD helps train the next...
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Publisher
American Medical Association
Copyright
Copyright 2017 American Medical Association. All Rights Reserved.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/jamasurg.2017.1615
Publisher site
See Article on Publisher Site

Abstract

Letters Although ongoing preparedness in trauma surgery is nec- requirement. Notwithstanding that both have been consid- essary for today’s military surgeon, a military-civilian part- ered mild postoperative pulmonary complications, they might nership beyond trauma care is mutually beneficial. The mili- also play a role as triggering factors in a potentially hazardous tary faculty supports UCD’s mission in clinical care and chain of events. research, while UCD helps train the next generation of mili- An emerging concept is that ventilator-induced lung in- tary surgeons and provides a busy clinical and academic en- jury should be prevented whenever possible. There is grow- vironment for sustainment of readiness and professional en- ing recognition that most postoperative pulmonary compli- hancement. This model could be expanded to other specialties cations occur as a 2-hit phenomenon, mechanical ventilation as well as midlevel health care professionals, nurses, and op- being the second hit. Positron emission tomography studies 18 18 erating room technicians. using F fluorodeoxyglucose ( F-FDG), an inflammatory marker, revealed that F-FDG uptake in normal lungs was as- Jamie E. Anderson, MD, MPH sociated with high tidal regional strain, even when global strain Elizabeth A. David, MD remained at presumably safe ranges. A surprisingly high

Journal

JAMA Surgery – American Medical Association

Published: Sep 7, 2017

References

  • Postoperative pulmonary complications, early mortality, and hospital stay following noncardiothoracic surgery: a multicenter study by the Perioperative Research Network Investigators
    Fernandez-Bustamante, A; Frendl, G; Sprung, J
  • Intraoperative protective mechanical ventilation and risk of postoperative respiratory complications: hospital based registry study
    Ladha, K; Vidal Melo, MF; McLean, DJ
  • Regional lung derecruitment and inflammation during 16 hours of mechanical ventilation in supine healthy sheep
    Tucci, MR; Costa, EL; Wellman, TJ
  • Effects of ventilation strategy on distribution of lung inflammatory cell activity
    de Prost, N; Costa, EL; Wellman, T
  • A trial of intraoperative low-tidal-volume ventilation in abdominal surgery
    Futier, E; Constantin, JM; Paugam-Burtz, C
  • High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial
    Hemmes, SN; Gama de Abreu, M; Pelosi, P; Schultz, MJ

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