Intraoperative Lung-Protective Ventilation

CA-2 · II.D.12.e.1 I.C.2.a.1 II.C.2.a.1.a

44Sources
6Kept
0Dropped

1 · Find evidence

PubMed query

Every result is a real PMID returned by NCBI. Nothing on this step is generated.

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OpenEvidence opens in your own logged-in session with the question filled in. Nothing is fetched on your behalf — read it there, then add what you want to teach as a point below, citing the source it came from.

44 candidate papers

Ticked papers are the ones a deck may be built from. Unticking one needs a reason — the citation gate proves a paper exists, and nothing but you decides whether it should be taught. A tier badge appears where the paper’s publication type is known.

Same-day build

PubMed query

Runs the tiered searches, drafts one point per included paper, runs the citation gate and builds a draft deck — the steps below, unattended. Same-day build — drafted locally (medgemma:27b), confirmed against each abstract. The deck still lands in draft: nothing here approves anything.

2 · Teaching points

Source

A point with no source will not survive the gate. That is the point of the gate.

6 points

High PEEP with recruitment maneuvers may reduce postoperative pulmonary complications, especially in laparoscopic surgery (OR 0.67 [0.50 to 0.87]). PMID 39042027 kept
Set the ventilator initially to a tidal volume of 6-8 mL/kg predicted body weight with PEEP 5 cmH2O, then individualise the PEEP; when recruiting, use the lowest effective pressure for the shortest effective time. PMID 31587835 kept
The dose-response for postoperative pulmonary complications tracks tidal volume, not PEEP: adding high PEEP to an already low tidal volume gave no further reduction. PMID 25978326 kept
Lung-protective ventilation cut major pulmonary and extrapulmonary complications after major abdominal surgery from 27.5% to 10.5%, and the need for postoperative ventilation or reintubation from 17% to 5%. PMID 23902482 kept
In a 69,265-patient registry, a PEEP of 5 cmH2O and a plateau pressure of 16 cmH2O or less were the settings associated with the lowest risk of postoperative respiratory complications. PMID 26174419 kept
Individualized intraoperative open-lung approach involves recruiting collapsed lung areas and personalizing PEEP to potentially reduce postoperative pulmonary complications compared to strategies tolerating lung collapse. PMID 39880492 kept

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5 · Question bank

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