Mechanical Protective Ventilation: New Paradigms in Thoracic Surgery

CANBAZ M., Senturk E., Senturk M.

JOURNAL OF CLINICAL MEDICINE, vol.14, no.5, 2025 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 14 Issue: 5
  • Publication Date: 2025
  • Doi Number: 10.3390/jcm14051674
  • Journal Name: JOURNAL OF CLINICAL MEDICINE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Directory of Open Access Journals
  • Acibadem Mehmet Ali Aydinlar University Affiliated: Yes

Abstract

One-lung ventilation (OLV) in thoracic anesthesia poses dual challenges: preventing hypoxemia and minimizing ventilator-associated lung injury (VALI). Advances such as fiberoptic bronchoscopy and improved anesthetic techniques have reduced hypoxemia, yet optimal management strategies remain uncertain. Protective ventilation, involving low tidal volumes (4-6 mL/kg), individualized PEEP, and selective alveolar recruitment maneuvers (ARM), seek to balance oxygenation and lung protection. However, questions persist regarding the ideal application of PEEP and ARM, as well as their integration into clinical practice. As for PEEP and ARM, further research is needed to address key questions and establish new guidelines.