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KMID : 0356920200730030194
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Korean Journal of Anesthesiology
2020 Volume.73 No. 3 p.194 ~ p.204
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Driving pressure guided ventilation
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Ahn Hyun-Joo
Park Mi-Hye
Kim Jie-Ae
Yang Mi-Kyung
Yoon Su-Sie
Kim Bo-Rim
Bahk Jae-Hyon
Oh Young-Jun
Lee Eun-Ho
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Abstract
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Protective ventilation is a prevailing ventilatory strategy these days and is comprised of small tidal volume, limited inspiratory pressure, and application of positive end-expiratory pressure (PEEP). However, several retrospective studies recently suggested that tidal volume, inspiratory pressure, and PEEP are not related to patient outcomes, or only related when they influence the driving pressure. Therefore, this review introduces the concept of driving pressure and looks into the possibility of driving pressure-guided ventilation as a new ventilatory strategy, especially in thoracic surgery where postoperative pulmonary complications are common, and thus, lung protection is of utmost importance.
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KEYWORD
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Driving pressure, Positive end-expiratory pressure, Postoperative complications, Protective ventilation
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