An Updated Review of Driving-Pressure Guided Ventilation Strategy and Its Clinical Application

Traditional lung-protective ventilation strategies (LPVS) are currently used to reduce the incidence of postoperative pulmonary complications (PPCs), including low tidal volume (VT), positive end-expiratory pressure (PEEP), low inspiratory plateau pressure (Pplat), permissive hypercapnia, and recrui...

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Bibliographic Details
Published in:BioMed research international 2022-08, Vol.2022, p.1-5
Main Authors: Yang, Guanyu, Hu, Chunhui, Sun, Zhentao
Format: Article
Language:English
Subjects:
Abdominal surgery
Algorithms
Artificial respiration
Complications
Hypercapnia
Mechanical ventilation
Meta-analysis
Methods
Patients
Practice guidelines (Medicine)
Pressure
Respiration
Respiratory system
Review
Ventilation
Ventilators
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Summary:Traditional lung-protective ventilation strategies (LPVS) are currently used to reduce the incidence of postoperative pulmonary complications (PPCs), including low tidal volume (VT), positive end-expiratory pressure (PEEP), low inspiratory plateau pressure (Pplat), permissive hypercapnia, and recruitment maneuver (RM). However, a meta-analysis showed that high driving pressure was closely associated with the incidence of PPCs, but not with PEEP or VT, which led to the driving pressure-guided ventilation strategy. Some studies have proved that the driving pressure-guided ventilation strategy is superior to the traditional LPVS in reducing the incidence of PPCs. The purpose of this review is to present the current research progress and application of driving pressure-guided ventilation strategy.
ISSN:2314-6133
2314-6141
DOI:10.1155/2022/6236438