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Upsala Journal of Medical Sciences Volume 122, 2017 - Issue 2
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Original Article

Minimizing atelectasis formation during general anaesthesia—oxygen washout is a non-essential supplement to PEEP

Erland ÖstbergDepartment of Anaesthesia and Intensive Care, Västerås and Köping Hospital, Västerås, Sweden; Correspondence[email protected]
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,
Udo AunerDepartment of Radiology, Västerås Hospital, Västerås, Sweden; View further author information
,
Mats EnlundCentre for Clinical Research, Västerås, Sweden; View further author information
,
Henrik ZetterströmDepartment of Surgical Sciences, Anaesthesiology and Intensive Care, Uppsala University, Uppsala, SwedenView further author information
&
Lennart EdmarkDepartment of Anaesthesia and Intensive Care, Västerås and Köping Hospital, Västerås, Sweden; View further author information
Pages 92-98 | Received 13 Nov 2016, Accepted 08 Feb 2017, Published online: 24 Apr 2017

References

  • Hedenstierna G, Edmark L. Effects of anesthesia on the respiratory system. Best Pract Res Clin Anaesthesiol. 2015;29:273–84.
  • Edmark L, Kostova-Aherdan K, Enlund M, Hedenstierna G. Optimal oxygen concentration during induction of general anesthesia. Anesthesiology. 2003;98:28–33.
  • Martin DS, Grocott MPW. Oxygen therapy and anaesthesia: too much of a good thing? Anaesthesia. 2015;70:522–7.
  • Brismar B, Hedenstierna G, Lundquist H, Strandberg A, Svensson L, Tokics L. Pulmonary densities during anesthesia with muscular relaxation – a proposal of atelectasis. Anesthesiology. 1985;62:422–8.
  • van Kaam AH, Lachmann RA, Herting E, De Jaegere A, van Iwaarden F, Noorduyn LA, et al. Reducing atelectasis attenuates bacterial growth and translocation in experimental pneumonia. Am J Respir Crit Care Med. 2004;169:1046–53.
  • Edmark L, Östberg E, Scheer H, Wallquist W, Hedenstierna G, Zetterström H. Preserved oxygenation in obese patients receiving protective ventilation during laparoscopic surgery: a randomized controlled study. Acta Anaesthesiol Scand. 2016;60:26–35.
  • Robinson JD, Lupkiewicz SM, Palenik L, Lopez LM, Ariet M. Determination of ideal body weight for drug dosage calculations. Am J Hosp Pharm. 1983;40:1016–19.
  • Lundquist H, Hedenstierna G, Strandberg A, Tokics L, Brismar B. CT-assessment of dependent lung densities in man during general anaesthesia. Acta Radiol. 1995;36:626–32.
  • Zetterström H. Assessment of the efficiency of pulmonary oxygenation. The choice of oxygenation index. Acta Anaesthesiol Scand. 1988;32:579–84.
  • Dantzker DR, Wagner PD, West JB. Instability of lung units with low Va/Q ratios during O2 breathing. J Appl Physiol. 1975;38:886–95.
  • Joyce CJ, Baker AB, Kennedy RR. Gas uptake from an unventilated area of lung: computer model of absorption atelectasis. J Appl Physiol (1985). 1993;74:1107–16.
  • Edmark L, Auner U, Enlund M, Östberg E, Hedenstierna G. Oxygen concentration and characteristics of progressive atelectasis formation during anaesthesia. Acta Anaesthesiol Scand. 2011;55:75–81.
  • Tokics L, Hedenstierna G, Strandberg A, Brismar B, Lundquist H. Lung collapse and gas exchange during general anesthesia: effects of spontaneous breathing, muscle paralysis, and positive end-expiratory pressure. Anesthesiology. 1987;66:157–67.
  • Hedenstierna G, Tokics L, Lundquist H, Andersson T, Strandberg A, Brismar B. Phrenic nerve stimulation during halothane anesthesia. Effects of atelectasis. Anesthesiology. 1994;80:751–60.
  • Hedenstierna G, Strandberg A, Brismar B, Lundquist H, Svensson L, Tokics L. Functional residual capacity, thoracoabdominal dimensions, and central blood volume during general anesthesia with muscle paralysis and mechanical ventilation. Anesthesiology. 1985;62:247–54.
  • Wahba RWM. Perioperative functional residual capacity. Can J Anaesth. 1991;38:384–400.
  • Rothen HU, Sporre B, Engberg G, Wegenius G, Hedenstierna G. Airway closure, atelectasis and gas exchange during general anaesthesia. Br J Anaesth. 1998;81:681–6.
  • Hedenstierna G, Rothen HU. Respiratory function during anesthesia: effects on gas exchange. Compr Physiol. 2012;2:69–96.
  • Futier E, Constantin J-M, Paugam-Burtz C, Pascal J, Eurin M, Neuschwander A, et al. A trial of intraoperative low-tidal-volume ventilation in abdominal surgery. N Engl J Med. 2013;369:428–37.
  • PROVE Network Investigators for the Clinical Trial Network of the European Society of Anaesthesiology, Hemmes SNT, Gama de Abreu M, Pelosi P, Schultz MJ. High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial. Lancet. 2014;384:495–503.
  • Hartland BL, Newell TJ, Damico N. Alveolar recruitment maneuvers under general anesthesia: a systematic review of the literature. Respir Care. 2015;60:609–20.
  • Yang D, Grant MC, Stone A, Wu CL, Wick EC. A meta-analysis of intraoperative ventilation strategies to prevent pulmonary complications: is low tidal volume alone sufficient to protect healthy lungs? Ann Surg. 2016;263:881–7.

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