Open AccessImproving Adherence to Intraoperative Lung-Protective Ventilation Strategies Using Near Real-Time Feedback and Individualized Electronic Reporting
Author(s) -
Dale A. Parks,
Roland T. Short,
Philip McArdle,
Amandiy Liwo,
Joshua M. Hagood,
Sandra Joyce Crump,
Ayesha S. Bryant,
Thomas R. Vetter,
Charity Morgan,
T. Mark Beasley,
Keith A. Jones
Publication year - 2021
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000005481
Subject(s) - medicine , ventilation (architecture) , confidence interval , tidal volume , psychological intervention , logistic regression , mechanical ventilation , incidence (geometry) , anesthesia , lung , post hoc analysis , emergency medicine , intensive care medicine , respiratory system , psychiatry , engineering , mechanical engineering , physics , optics
Postoperative pulmonary complications can have a significant impact on the morbidity and mortality of patients undergoing major surgeries. Intraoperative lung protective strategies using low tidal volume (TV) ventilation and positive end-expiratory pressure (PEEP) have been demonstrated to reduce the incidence of pulmonary injury and infection while improving oxygenation and respiratory mechanics. The purpose of this study was to develop decision support systems designed to optimize behavior of the attending anesthesiologist with regards to adherence with established intraoperative lung-protective ventilation (LPV) strategies.