title: Lung protective strategies in anaesthesia.
abstract: Patients are at risk for several types of lung injury in the perioperative period including atelectasis, pneumonia, pneumothorax, acute lung injury, and acute respiratory distress syndrome. Anaesthetic management can cause, exacerbate, or ameliorate these injuries. This review examines the effects of perioperative mechanical ventilation and its role in ventilator-induced lung injury. Lung protective ventilatory strategies to specific clinical situations such as cardiopulmonary bypass and one-lung ventilation along with newer novel lung protective strategies are discussed.
authors.affiliation: Department of Anaesthesia, 3 EN, The Toronto General Hospital, 200 Elizabeth Street, Toronto, ON, Canada M5G 2C4. btk14@hotmail.com
authors.forename: B
authors.initials: B
authors.lastname: Kilpatrick
authors.forename: P
authors.initials: P
authors.lastname: Slinger
mesh_terms: D000758:Anesthesia / Q000009:adverse effects / Q000379:methods*; D002315:Cardiopulmonary Bypass / Q000009:adverse effects; D006801:Humans; D006935:Hypercapnia / Q000150:complications; D019990:Perioperative Care / Q000379:methods; D012121:Respiration, Artificial / Q000009:adverse effects / Q000379:methods; D055397:Ventilator-Induced Lung Injury / Q000209:etiology / Q000517:prevention & control*