PERI-OPERATIVE PROTECTIVE ARTIFICIAL PULMONARY VENTILATION IN ABDOMEN SURGERY

Abstract

Artificial pulmonary ventilation (APV) is one of the main methods of intensive care, but it differs greatly from natural external respiration and can promote post-operative pulmonary complications (POPC). The objective of the review is to evaluate the efficiency of protective APV in general and its certain components (small respiratory volume, high positive end-expiratory pressure (PEEP), and alveolar mobilization maneuver) in the reduction of risk of POPC in the patients with intact lungs undergoing abdomen surgery. Conclusion. The protective APV in the peri-operative period of abdomen surgery reduces the frequency of post-operative pulmonary complications but provides no impact on mortality. The main component of protective APV is small respiratory volume while using high PEEP and alveolar mobilization maneuver in the open surgery in the non-obese patients is still to be discussed. In laparoscopic surgery and obese patients, it is feasible to combine small respiratory volume, high PEEP and alveolar mobilization maneuver.

Keywords

• protective artificial pulmonary ventilation
• post-operative pulmonary complications
• abdominal surgery