title: One more brick in the wall of protective ventilation in surgical patients.
abstract: On June 14, 2015, Ladha and colleagues published an article in the BMJ entitled "Intraoperative protective mechanical ventilation and risk of postoperative respiratory complications: hospital based registry study", which investigated the effects of intraoperative protective ventilation on major postoperative respiratory complications. This study used data of over 69,265 patients in order to investigate patients over the age of 18 who underwent a non-cardiac surgical procedure between January 2007 and August 2014 and required general anesthesia with endotracheal intubation. The investigators found that intraoperative protective ventilation was associated with a decreased risk of postoperative respiratory complications. This study raises important questions about the ventilatory management of surgical patients.
authors.affiliation: 1 Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil ; 2 Program of Post-Graduation, Research and Innovation, Faculdade de Medicina do ABC, São Paulo, Brazil ; 3 Department of Intensive Care, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
authors.forename: Roberto Rabello
authors.initials: RR
authors.lastname: Filho
authors.affiliation: 1 Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil ; 2 Program of Post-Graduation, Research and Innovation, Faculdade de Medicina do ABC, São Paulo, Brazil ; 3 Department of Intensive Care, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
authors.forename: Ary
authors.initials: A
authors.lastname: Serpa Neto
keywords: Mechanical ventilation; positive end expiratory pressure (PEEP); postoperative pulmonary complications (PPC); surgery; tidal volume