AI Article Synopsis
- - Intraoperative hypoxaemia and postoperative respiratory issues are significant challenges in modern anaesthesia, as the process depresses respiratory functions and alters breathing mechanics.
- - Most patients need mechanical ventilation and extra oxygen during surgery, and recent findings indicate that how patients are managed during surgery can impact their recovery.
- - The review outlines the causes of impaired gas exchange during surgery and offers strategies to prevent/manage hypoxaemia, including various mechanical ventilation techniques to enhance patient outcomes.
Article Abstract
Intraoperative hypoxaemia and postoperative respiratory complications remain the challenges of modern anaesthetic practice. Anaesthesia causes both depression of respiratory centres and profound changes of respiratory mechanics. Most anaesthetized patients consequently require mechanical ventilation and supplemental oxygen. Recent data suggest that intraoperative respiratory management of a patient can affect postoperative outcome. In this review, we briefly describe the mechanisms responsible for the impairment of intraoperative gas exchange and provide guidelines to prevent or manage hypoxaemia. Moreover, we discuss several aspects of mechanical ventilation that can be employed to improve patients' outcome.
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| http://dx.doi.org/10.1097/EJA.0b000e000000f1fb | DOI Listing |
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