Avoid hyperventilation ( ETCO 2 = 40-50 mm Hg ), patients “live” at a higher PaCO 2
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• Avoid hyperventilation (ETCO 2 = 40-50 mm Hg), patients “live” at a higher PaCO 2 • Hypercapnia (PaCO 2 = 50 mmHg) improves tissue oxygenation Hager et al: Anesth Analg 2006; 103: 677-81 Fleischmann et al: Anesthesiology 2006; 104: 944-9 • Optimal lung protective ventilatory strategy – Low tidal volumes (6-8 mL/kg, IBW) – PEEP (5-10 cm H 2 O) – Recruitment maneuver (40 cm H 2 O for 40 s) Gertler & Joshi: Advances in Anesthesia 2010 Futier E et al: Anesthesiology 2010; 113: 1310-9 Ventilatory Management: Ventilatory Management: Alveolar Recruitment Alveolar Recruitment
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Avoid hyperventilation ( ETCO 2 = 40-50 mm Hg ), patients “live” at a higher PaCO 2 Hypercapnia (PaCO 2 = 50 mmHg) improves tissue oxygenation Hager et al: Anesth Analg 2006; 103: 677-81 Fleischmann et al: Anesthesiology 2006; 104: 944-9 Optimal lung protective ventilatory strategy - PowerPoint PPT Presentation
Transcript of Avoid hyperventilation ( ETCO 2 = 40-50 mm Hg ), patients “live” at a higher PaCO 2
• Avoid hyperventilation (ETCO2 = 40-50 mm
Hg), patients “live” at a higher PaCO2
• Hypercapnia (PaCO2 = 50 mmHg) improves tissue oxygenation
Hager et al: Anesth Analg 2006; 103: 677-81
Fleischmann et al: Anesthesiology 2006; 104: 944-9
• Optimal lung protective ventilatory strategy– Low tidal volumes (6-8 mL/kg, IBW)
– PEEP (5-10 cm H2O)
– Recruitment maneuver (40 cm H2O for 40 s)Gertler & Joshi: Advances in Anesthesia 2010
Futier E et al: Anesthesiology 2010; 113: 1310-9
Ventilatory Management: Ventilatory Management:
Alveolar RecruitmentAlveolar Recruitment
