Implementation of a Perioperative Lung Protective Ventilation Protocol for Robotic-Assisted Surgeries

Area of Science:

• Anesthesiology
• Surgical Innovation
• Respiratory Care

Background:

• Lung protective ventilation (LPV) is crucial for mitigating ventilator-induced lung injury.
• Robotic surgery presents unique ventilation challenges requiring optimized protocols.
• Provider education and adherence are key to successful implementation of LPV.

Purpose of the Study:

• To educate healthcare providers on the benefits of LPV.
• To implement an LPV protocol specifically for robotic-assisted surgery.
• To evaluate adherence to the LPV protocol in adult robotic surgery patients.

Main Methods:

• A pre/post quality improvement design was employed over six months.
• Retrospective electronic medical record review assessed adherence to the LPV protocol.
• Data collected included ventilator settings, patient demographics, and ASA physical status.

Main Results:

• Adherence to LPV parameters, including tidal volume, respiratory rate, and driving pressure, significantly improved post-implementation (P < .001).
• Provider knowledge and confidence increased significantly following educational interventions (P = .049).
• The implemented LPV protocol demonstrated improved adherence with education and information tools.

Conclusions:

• Provider education and the implementation of a dedicated LPV protocol enhance adherence in robotic surgery.
• Improvements in LPV adherence correlate with increased provider knowledge and confidence.
• This quality improvement project highlights the effectiveness of targeted interventions for optimizing ventilation strategies in robotic surgery.