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Updated: Jun 6, 2026
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Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation
Published on: December 5, 2025
Lung protective strategies in anaesthesia
1Department of Anaesthesia, 3 EN, The Toronto General Hospital, 200 Elizabeth Street, Toronto, ON, Canada M5G 2C4. btk14@hotmail.com
British Journal of Anaesthesia
|December 15, 2010
Summary
Perioperative mechanical ventilation can cause lung injury. This review discusses lung protective strategies to prevent and treat ventilator-induced lung injury during anesthesia.
Area of Science:
- Anesthesiology
- Critical Care Medicine
- Pulmonology
Background:
- Patients face risks of lung injury (atelectasis, pneumonia, pneumothorax, ALI, ARDS) during surgery.
- Anesthetic management significantly impacts perioperative lung injury.
- Mechanical ventilation is a key factor in perioperative lung injury.
Purpose of the Study:
- To review the effects of perioperative mechanical ventilation on lung injury.
- To explore the role of mechanical ventilation in ventilator-induced lung injury (VILI).
- To discuss lung protective ventilatory strategies in various clinical scenarios.
Main Methods:
- Literature review of perioperative mechanical ventilation and lung injury.
- Analysis of anesthetic management's influence on lung health.
- Discussion of established and novel lung protective strategies.
Main Results:
- Perioperative mechanical ventilation is associated with various lung injuries.
- Specific ventilatory strategies can mitigate or cause lung injury.
- Lung protective ventilation is crucial in minimizing VILI.
Conclusions:
- Anesthetic management and mechanical ventilation critically influence perioperative lung injury.
- Implementing lung protective strategies is essential for patient safety.
- Further research into novel strategies may improve outcomes in VILI.
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