Ventilator-associated lung injury in the intensive care unit and operating room – what's new?
The prophylaxis of ventilator-associated lung injury (VALI) and postoperative pulmonary complications (PPC) is of utmost importance to reduce complications both in the perioperative period of major surgery and in the intensive care unit (ICU).Protective approach to mechanical ventilation comprises a...
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2020-11-01
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| Series: | Вестник анестезиологии и реаниматологии |
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| Online Access: | https://www.vair-journal.com/jour/article/view/466 |
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| _version_ | 1849698345702916096 |
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| author | V. V. Kuzkov K. S. Lapin E. V. Fot M. Yu. Kirov |
| author_facet | V. V. Kuzkov K. S. Lapin E. V. Fot M. Yu. Kirov |
| author_sort | V. V. Kuzkov |
| collection | DOAJ |
| description | The prophylaxis of ventilator-associated lung injury (VALI) and postoperative pulmonary complications (PPC) is of utmost importance to reduce complications both in the perioperative period of major surgery and in the intensive care unit (ICU).Protective approach to mechanical ventilation comprises a wide range of measures reducing the damage of the lung tissue associated with the stress and strain phenomena. The implementation of the strategy of high positive end-expiratory pressure (PEEP) in combination with alveolar recruitment maneuver has numerous limitations and requires further personalized approaches.When lung injury is self-induced by a patient, it becomes an important contributor to VALI and should be timely diagnosed and prevented both before initiation of mechanical support and during the restoration of spontaneous breathing. This review highlights the key mechanisms of VALI and current understanding of protective ventilation. The concept of damaging energy as well as approaches to the personalized optimization of respiratory settings are discussed in detail. Particular attention is paid to the prognostication of the risk factors of VALI and PPC. |
| format | Article |
| id | doaj-art-a72762d7bb7f4201b4e4b1af61e328c2 |
| institution | DOAJ |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| publishDate | 2020-11-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj-art-a72762d7bb7f4201b4e4b1af61e328c22025-08-20T03:18:55ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532020-11-01175476110.21292/2078-5658-2020-17-5-47-61406Ventilator-associated lung injury in the intensive care unit and operating room – what's new?V. V. Kuzkov0K. S. Lapin1E. V. Fot2M. Yu. Kirov3Northern State Medical University; Severodvinsk Municipal Clinical Emergency Hospital no. 2Northern State Medical University; Severodvinsk Municipal Clinical Emergency Hospital no. 2Northern State Medical UniversityNorthern State Medical UniversityThe prophylaxis of ventilator-associated lung injury (VALI) and postoperative pulmonary complications (PPC) is of utmost importance to reduce complications both in the perioperative period of major surgery and in the intensive care unit (ICU).Protective approach to mechanical ventilation comprises a wide range of measures reducing the damage of the lung tissue associated with the stress and strain phenomena. The implementation of the strategy of high positive end-expiratory pressure (PEEP) in combination with alveolar recruitment maneuver has numerous limitations and requires further personalized approaches.When lung injury is self-induced by a patient, it becomes an important contributor to VALI and should be timely diagnosed and prevented both before initiation of mechanical support and during the restoration of spontaneous breathing. This review highlights the key mechanisms of VALI and current understanding of protective ventilation. The concept of damaging energy as well as approaches to the personalized optimization of respiratory settings are discussed in detail. Particular attention is paid to the prognostication of the risk factors of VALI and PPC.https://www.vair-journal.com/jour/article/view/466ventilator-associated lung injuryacute respiratory distress syndromepostoperative pulmonary complicationsself-induced (patient) lung injury |
| spellingShingle | V. V. Kuzkov K. S. Lapin E. V. Fot M. Yu. Kirov Ventilator-associated lung injury in the intensive care unit and operating room – what's new? Вестник анестезиологии и реаниматологии ventilator-associated lung injury acute respiratory distress syndrome postoperative pulmonary complications self-induced (patient) lung injury |
| title | Ventilator-associated lung injury in the intensive care unit and operating room – what's new? |
| title_full | Ventilator-associated lung injury in the intensive care unit and operating room – what's new? |
| title_fullStr | Ventilator-associated lung injury in the intensive care unit and operating room – what's new? |
| title_full_unstemmed | Ventilator-associated lung injury in the intensive care unit and operating room – what's new? |
| title_short | Ventilator-associated lung injury in the intensive care unit and operating room – what's new? |
| title_sort | ventilator associated lung injury in the intensive care unit and operating room what s new |
| topic | ventilator-associated lung injury acute respiratory distress syndrome postoperative pulmonary complications self-induced (patient) lung injury |
| url | https://www.vair-journal.com/jour/article/view/466 |
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