Postoperative Management of Respiratory Failure: Extracorporeal Ventilatory Therapy

Vera von Dossow; Maria Deja; Bernhard Zwissler; Claudia Spies

doi:10.1007/978-3-030-00859-8_55

Postoperative Management of Respiratory Failure: Extracorporeal Ventilatory Therapy

Vera von Dossow^*, Maria Deja, Bernhard Zwissler, Claudia Spies

^*Corresponding author for this work

Clinic of Anesthesiology

2 Citations (Scopus)

Abstract

Post-thoracotomy acute lung injury is one of the leading causes of mortality after thoracic surgery. Several trigger factors have been identified such as preoperative conditions, surgery-associated inflammation, fluid overload, ventilator-induced lung injury, one-lung ventilation, as well as transfusions. In severe cases the clinical presentation is an acute respiratory distress syndrome in adult patients with a high mortality rate. In the last decade, the concept of lung-“protective” ventilation strategies has been gaining importance in thoracic surgery. However, in a case of severe post-thoracotomy acute lung injury refractory to maximal conservative treatment, the use of extracorporeal ventilatory therapy might be indicated representing the concept of “lung rest.”.

Original language	English
Title of host publication	Principles and Practice of Anesthesia for Thoracic Surgery : Second Edition
Number of pages	14
Publisher	Springer International Publishing
Publication date	01.01.2019
Pages	925-938
ISBN (Print)	9783030008581
ISBN (Electronic)	9783030008598
DOIs	https://doi.org/10.1007/978-3-030-00859-8_55
Publication status	Published - 01.01.2019

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

DFG Research Classification Scheme

2.22-13 Pneumology, Thoracic Surgery
2.22-11 Anaesthesiology

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10.1007/978-3-030-00859-8_55

Cite this

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abstract = "Post-thoracotomy acute lung injury is one of the leading causes of mortality after thoracic surgery. Several trigger factors have been identified such as preoperative conditions, surgery-associated inflammation, fluid overload, ventilator-induced lung injury, one-lung ventilation, as well as transfusions. In severe cases the clinical presentation is an acute respiratory distress syndrome in adult patients with a high mortality rate. In the last decade, the concept of lung-“protective” ventilation strategies has been gaining importance in thoracic surgery. However, in a case of severe post-thoracotomy acute lung injury refractory to maximal conservative treatment, the use of extracorporeal ventilatory therapy might be indicated representing the concept of “lung rest.”.",

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AU - von Dossow, Vera

AU - Deja, Maria

AU - Zwissler, Bernhard

AU - Spies, Claudia

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Post-thoracotomy acute lung injury is one of the leading causes of mortality after thoracic surgery. Several trigger factors have been identified such as preoperative conditions, surgery-associated inflammation, fluid overload, ventilator-induced lung injury, one-lung ventilation, as well as transfusions. In severe cases the clinical presentation is an acute respiratory distress syndrome in adult patients with a high mortality rate. In the last decade, the concept of lung-“protective” ventilation strategies has been gaining importance in thoracic surgery. However, in a case of severe post-thoracotomy acute lung injury refractory to maximal conservative treatment, the use of extracorporeal ventilatory therapy might be indicated representing the concept of “lung rest.”.

AB - Post-thoracotomy acute lung injury is one of the leading causes of mortality after thoracic surgery. Several trigger factors have been identified such as preoperative conditions, surgery-associated inflammation, fluid overload, ventilator-induced lung injury, one-lung ventilation, as well as transfusions. In severe cases the clinical presentation is an acute respiratory distress syndrome in adult patients with a high mortality rate. In the last decade, the concept of lung-“protective” ventilation strategies has been gaining importance in thoracic surgery. However, in a case of severe post-thoracotomy acute lung injury refractory to maximal conservative treatment, the use of extracorporeal ventilatory therapy might be indicated representing the concept of “lung rest.”.

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BT - Principles and Practice of Anesthesia for Thoracic Surgery

PB - Springer International Publishing

ER -

Postoperative Management of Respiratory Failure: Extracorporeal Ventilatory Therapy

Abstract

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