What Are the Specific Challenges in the Postoperative Mechanical Ventilation After Thoracic Surgery?
Postoperative Care in Thoracic Surgery: A Comprehensive Guide, Springer International Publishing Ag, ss.167-181, 2017
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2017
- Doi Numarası: 10.1007/978-3-319-19908-5_11
- Yayınevi: Springer International Publishing Ag
- Sayfa Sayıları: ss.167-181
- Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet
Özet
Incidence of the requirement of prolonged mechanical ventilation after thoracic surgery appears to be decreasing. However, the importance of some severe and specific challenges remains the same. As an example, combination of prolonged air leakage and respiratory insufficiency can be considered as a double-edged sword. Besides the classical approach of “protective” ventilation, which should also be examined again and again, methods like “high-frequency jet ventilation” and “independent lung ventilation” should be considered in selected cases. Not at least, a physician dealing with the postthoracotomy patient should be familiar with the management of chest tubes in different cases.