A Case Review Obesity and Effective Ventilation Strategies

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Protective ventilation strategies Higher surgical risk (major abdominal, thoracic <strong>and</strong> cardiac surgery)-a protective ventilation strategy (V T 4-6 ml/kg Predicted Body Weight, PEEP with or without Recruitment Maneuver) - associated with a reduced expression of alveolar/ systemic inflammatory markers ARDS net study - Higher tidal volume vs. lower tidal volume
Back to the case Volume control mode- Tidal Volume 600 / Respiratory rate 12 / I: E=1:2 SPO 2 98% , PIP -18, Plateau pressure 15- Vital signs stable CO 2 insufflation- PIP 34 – SPO 2 -95 % Switched to pressure control with pressure setting – 24 /RR-12 TV -700s , rate 12 . SpO 2 98-99 <strong>and</strong> stable vital signs .
Page 1 and 2: A Case Review Obesity and Effective
Page 3 and 4: Case Scenario 42 year old female p
Page 5 and 6: How will you ventilate
Page 8 and 9: Respiratory Physiology in Obesity
Page 10 and 11: During Anesthesia (continued) Decr
Page 12 and 13: Effective ventilation vs. preventio
Page 14 and 15: Peak pressure vs. plateau pressure
Page 16 and 17: Volume control
Page 18 and 19: PEEP In a meta-analysis of eight R
Page 22 and 23: Summary Was the pressure control
Page 24 and 25: Treat the cause / Change the settin
Page 26 and 27: References: Pelosi P and Greforett

A Case Review Obesity and Effective Ventilation Strategies

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