Webinar on Lung Protection Guidelines in Anaesthesia and Intensive Care - Scientific Faculty only
ESAIC Academy. Prof Marcus Schultz, Prof. Marcelo Gama de Abreu, Prof Fernando Suarez-Sipmann & Dr. Tanja Treschan-Meyer . 10/28/20; 312536
Prof Marcus Schultz, Prof. Marcelo Gama de Abreu, Prof Fernando Suarez-Sipmann & Dr. Tanja Treschan-Meyer
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Summary: Webinar on Lung Protection Guidelines in Anaesthesia and Intensive Care
Dr. Hans-Christian Zaun, Ph.D.
Scientific Advisor, MULTILEARNING GROUP.
Each year, over 230 million major surgical procedures are undertaken worldwide, and postoperative pulmonary complications (PPCs) significantly impact patients' health. However, a majority of anaesthesiologists polled indicate they do not evaluate the risk of PPCs. Prof. Marcus Schultz, from the Academic Medical Centre at the University of Amsterdam, the Netherlands, hosts this Webinar on Lung Protection Guidelines in Anaesthesia and Intensive Care. Scientific support is provided by Prof. Tanja Meyer-Treschan from the University of Applied Science, Germany.
Prof. Marcelo Gama de Abreu of the University Hospital Carl Gustav Carus, Dresden, Germany, begins the webinar by discussing the effects of anaesthesia on the respiratory system and postoperative pulmonary complications. A major issue of concern is that anaesthesia results in a reduction of the lungs' functional residual capacity. When compounded with other issues, including muscle paralysis, inflammation, impaired clearance, and increased pressure, there is an increase in the risk of postoperative pulmonary complications (PPCs). Prof. Gama de Abreu points out that PPCs are as common as cardiac complications following non-cardiac surgery and increase the length of stay in the ICU and hospital and increase in-hospital mortality. Furthermore, even mild complications can have an effect. He concludes his discussion by looking at the concept of risk stratification and approaches that can be utilized to assess a patient's PPC risk.
The webinar continues with Prof. Fernando Suarez-Sipmann, of the Hospital Universitario de La Princesa, Madrid, Spain, who discusses the rationale and evidence for intraoperative lung-protective ventilation. He begins by discussing the pathophysiological condition that occurs during ventilation and the importance of adapting the way a patient is ventilated to decrease the incidence of PPCs. He continues by discussing lung-protective ventilation strategies to reduce PPCs, such as applying lower tidal volumes and appropriate PEEP levels. However, Prof. Suarez-Sipmann points-out that it is difficult to determine which of these factors is essential. Furthermore, some established strategies, such as lowering the tidal volume, have been challenged. He reviews numerous studies looking at different aspects and controversies regarding proper mechanical ventilation strategies to reduce PPC incidence.
Prof. Suarez-Sipmann continues the webinar by discussing individualized lung-protective ventilation based on recruitment maneuvers (RM) and PEEP. He states that this is a controversial issue, as recent randomized controlled trials demonstrate no benefit of specific theoretic interventions on mortality. After reviewing the interrelation between tidal volume, PEEP, driving pressure and lung condition, he reviews numerous studies demonstrating the challenges of protective strategies. He proposes the use of the Air Test as a tool to unmask the possible lung function impairment by simply changing the concentration of inspired oxygen. Prof. Suarez-Sipmann concludes his discussion by giving several recommendations on future trials to obtain more objective information on individualized mechanical ventilation and to improve respiratory function and prevention of PPCs.
As a counter discussion to the previous section, Prof. Gama de Abreu looks at the evidence-based approach to intraoperative mechanical ventilation. He identifies the key elements are avoiding excess stress on the lungs and minimizing trauma and inflammation by ventilator-induced lung injury. He states that one of the most crucial findings demonstrates that low VT with moderate PEEP and periodic recruitment maneuvers resulted in a significant reduction of major pulmonary and extra-pulmonary complications. Additionally, Prof. Gama de Abreu reviews several studies demonstrating that individualized PEEP does not necessarily avoid complications and has short lasting effects. He concludes his discussion by listing the current recommendations for protective intraoperative mechanical ventilation.
This webinar concludes with Prof. Meyer-Treschan presenting the take-home messages about anaesthesia-induced lung impairment, postoperative pulmonary complications, and the numerous issues and complications faced by anaesthesiologists.
Dr. Hans-Christian Zaun, Ph.D.
Scientific Advisor, MULTILEARNING GROUP.
Each year, over 230 million major surgical procedures are undertaken worldwide, and postoperative pulmonary complications (PPCs) significantly impact patients' health. However, a majority of anaesthesiologists polled indicate they do not evaluate the risk of PPCs. Prof. Marcus Schultz, from the Academic Medical Centre at the University of Amsterdam, the Netherlands, hosts this Webinar on Lung Protection Guidelines in Anaesthesia and Intensive Care. Scientific support is provided by Prof. Tanja Meyer-Treschan from the University of Applied Science, Germany.
Prof. Marcelo Gama de Abreu of the University Hospital Carl Gustav Carus, Dresden, Germany, begins the webinar by discussing the effects of anaesthesia on the respiratory system and postoperative pulmonary complications. A major issue of concern is that anaesthesia results in a reduction of the lungs' functional residual capacity. When compounded with other issues, including muscle paralysis, inflammation, impaired clearance, and increased pressure, there is an increase in the risk of postoperative pulmonary complications (PPCs). Prof. Gama de Abreu points out that PPCs are as common as cardiac complications following non-cardiac surgery and increase the length of stay in the ICU and hospital and increase in-hospital mortality. Furthermore, even mild complications can have an effect. He concludes his discussion by looking at the concept of risk stratification and approaches that can be utilized to assess a patient's PPC risk.
The webinar continues with Prof. Fernando Suarez-Sipmann, of the Hospital Universitario de La Princesa, Madrid, Spain, who discusses the rationale and evidence for intraoperative lung-protective ventilation. He begins by discussing the pathophysiological condition that occurs during ventilation and the importance of adapting the way a patient is ventilated to decrease the incidence of PPCs. He continues by discussing lung-protective ventilation strategies to reduce PPCs, such as applying lower tidal volumes and appropriate PEEP levels. However, Prof. Suarez-Sipmann points-out that it is difficult to determine which of these factors is essential. Furthermore, some established strategies, such as lowering the tidal volume, have been challenged. He reviews numerous studies looking at different aspects and controversies regarding proper mechanical ventilation strategies to reduce PPC incidence.
Prof. Suarez-Sipmann continues the webinar by discussing individualized lung-protective ventilation based on recruitment maneuvers (RM) and PEEP. He states that this is a controversial issue, as recent randomized controlled trials demonstrate no benefit of specific theoretic interventions on mortality. After reviewing the interrelation between tidal volume, PEEP, driving pressure and lung condition, he reviews numerous studies demonstrating the challenges of protective strategies. He proposes the use of the Air Test as a tool to unmask the possible lung function impairment by simply changing the concentration of inspired oxygen. Prof. Suarez-Sipmann concludes his discussion by giving several recommendations on future trials to obtain more objective information on individualized mechanical ventilation and to improve respiratory function and prevention of PPCs.
As a counter discussion to the previous section, Prof. Gama de Abreu looks at the evidence-based approach to intraoperative mechanical ventilation. He identifies the key elements are avoiding excess stress on the lungs and minimizing trauma and inflammation by ventilator-induced lung injury. He states that one of the most crucial findings demonstrates that low VT with moderate PEEP and periodic recruitment maneuvers resulted in a significant reduction of major pulmonary and extra-pulmonary complications. Additionally, Prof. Gama de Abreu reviews several studies demonstrating that individualized PEEP does not necessarily avoid complications and has short lasting effects. He concludes his discussion by listing the current recommendations for protective intraoperative mechanical ventilation.
This webinar concludes with Prof. Meyer-Treschan presenting the take-home messages about anaesthesia-induced lung impairment, postoperative pulmonary complications, and the numerous issues and complications faced by anaesthesiologists.
Summary: Webinar on Lung Protection Guidelines in Anaesthesia and Intensive Care
Dr. Hans-Christian Zaun, Ph.D.
Scientific Advisor, MULTILEARNING GROUP.
Each year, over 230 million major surgical procedures are undertaken worldwide, and postoperative pulmonary complications (PPCs) significantly impact patients' health. However, a majority of anaesthesiologists polled indicate they do not evaluate the risk of PPCs. Prof. Marcus Schultz, from the Academic Medical Centre at the University of Amsterdam, the Netherlands, hosts this Webinar on Lung Protection Guidelines in Anaesthesia and Intensive Care. Scientific support is provided by Prof. Tanja Meyer-Treschan from the University of Applied Science, Germany.
Prof. Marcelo Gama de Abreu of the University Hospital Carl Gustav Carus, Dresden, Germany, begins the webinar by discussing the effects of anaesthesia on the respiratory system and postoperative pulmonary complications. A major issue of concern is that anaesthesia results in a reduction of the lungs' functional residual capacity. When compounded with other issues, including muscle paralysis, inflammation, impaired clearance, and increased pressure, there is an increase in the risk of postoperative pulmonary complications (PPCs). Prof. Gama de Abreu points out that PPCs are as common as cardiac complications following non-cardiac surgery and increase the length of stay in the ICU and hospital and increase in-hospital mortality. Furthermore, even mild complications can have an effect. He concludes his discussion by looking at the concept of risk stratification and approaches that can be utilized to assess a patient's PPC risk.
The webinar continues with Prof. Fernando Suarez-Sipmann, of the Hospital Universitario de La Princesa, Madrid, Spain, who discusses the rationale and evidence for intraoperative lung-protective ventilation. He begins by discussing the pathophysiological condition that occurs during ventilation and the importance of adapting the way a patient is ventilated to decrease the incidence of PPCs. He continues by discussing lung-protective ventilation strategies to reduce PPCs, such as applying lower tidal volumes and appropriate PEEP levels. However, Prof. Suarez-Sipmann points-out that it is difficult to determine which of these factors is essential. Furthermore, some established strategies, such as lowering the tidal volume, have been challenged. He reviews numerous studies looking at different aspects and controversies regarding proper mechanical ventilation strategies to reduce PPC incidence.
Prof. Suarez-Sipmann continues the webinar by discussing individualized lung-protective ventilation based on recruitment maneuvers (RM) and PEEP. He states that this is a controversial issue, as recent randomized controlled trials demonstrate no benefit of specific theoretic interventions on mortality. After reviewing the interrelation between tidal volume, PEEP, driving pressure and lung condition, he reviews numerous studies demonstrating the challenges of protective strategies. He proposes the use of the Air Test as a tool to unmask the possible lung function impairment by simply changing the concentration of inspired oxygen. Prof. Suarez-Sipmann concludes his discussion by giving several recommendations on future trials to obtain more objective information on individualized mechanical ventilation and to improve respiratory function and prevention of PPCs.
As a counter discussion to the previous section, Prof. Gama de Abreu looks at the evidence-based approach to intraoperative mechanical ventilation. He identifies the key elements are avoiding excess stress on the lungs and minimizing trauma and inflammation by ventilator-induced lung injury. He states that one of the most crucial findings demonstrates that low VT with moderate PEEP and periodic recruitment maneuvers resulted in a significant reduction of major pulmonary and extra-pulmonary complications. Additionally, Prof. Gama de Abreu reviews several studies demonstrating that individualized PEEP does not necessarily avoid complications and has short lasting effects. He concludes his discussion by listing the current recommendations for protective intraoperative mechanical ventilation.
This webinar concludes with Prof. Meyer-Treschan presenting the take-home messages about anaesthesia-induced lung impairment, postoperative pulmonary complications, and the numerous issues and complications faced by anaesthesiologists.
Dr. Hans-Christian Zaun, Ph.D.
Scientific Advisor, MULTILEARNING GROUP.
Each year, over 230 million major surgical procedures are undertaken worldwide, and postoperative pulmonary complications (PPCs) significantly impact patients' health. However, a majority of anaesthesiologists polled indicate they do not evaluate the risk of PPCs. Prof. Marcus Schultz, from the Academic Medical Centre at the University of Amsterdam, the Netherlands, hosts this Webinar on Lung Protection Guidelines in Anaesthesia and Intensive Care. Scientific support is provided by Prof. Tanja Meyer-Treschan from the University of Applied Science, Germany.
Prof. Marcelo Gama de Abreu of the University Hospital Carl Gustav Carus, Dresden, Germany, begins the webinar by discussing the effects of anaesthesia on the respiratory system and postoperative pulmonary complications. A major issue of concern is that anaesthesia results in a reduction of the lungs' functional residual capacity. When compounded with other issues, including muscle paralysis, inflammation, impaired clearance, and increased pressure, there is an increase in the risk of postoperative pulmonary complications (PPCs). Prof. Gama de Abreu points out that PPCs are as common as cardiac complications following non-cardiac surgery and increase the length of stay in the ICU and hospital and increase in-hospital mortality. Furthermore, even mild complications can have an effect. He concludes his discussion by looking at the concept of risk stratification and approaches that can be utilized to assess a patient's PPC risk.
The webinar continues with Prof. Fernando Suarez-Sipmann, of the Hospital Universitario de La Princesa, Madrid, Spain, who discusses the rationale and evidence for intraoperative lung-protective ventilation. He begins by discussing the pathophysiological condition that occurs during ventilation and the importance of adapting the way a patient is ventilated to decrease the incidence of PPCs. He continues by discussing lung-protective ventilation strategies to reduce PPCs, such as applying lower tidal volumes and appropriate PEEP levels. However, Prof. Suarez-Sipmann points-out that it is difficult to determine which of these factors is essential. Furthermore, some established strategies, such as lowering the tidal volume, have been challenged. He reviews numerous studies looking at different aspects and controversies regarding proper mechanical ventilation strategies to reduce PPC incidence.
Prof. Suarez-Sipmann continues the webinar by discussing individualized lung-protective ventilation based on recruitment maneuvers (RM) and PEEP. He states that this is a controversial issue, as recent randomized controlled trials demonstrate no benefit of specific theoretic interventions on mortality. After reviewing the interrelation between tidal volume, PEEP, driving pressure and lung condition, he reviews numerous studies demonstrating the challenges of protective strategies. He proposes the use of the Air Test as a tool to unmask the possible lung function impairment by simply changing the concentration of inspired oxygen. Prof. Suarez-Sipmann concludes his discussion by giving several recommendations on future trials to obtain more objective information on individualized mechanical ventilation and to improve respiratory function and prevention of PPCs.
As a counter discussion to the previous section, Prof. Gama de Abreu looks at the evidence-based approach to intraoperative mechanical ventilation. He identifies the key elements are avoiding excess stress on the lungs and minimizing trauma and inflammation by ventilator-induced lung injury. He states that one of the most crucial findings demonstrates that low VT with moderate PEEP and periodic recruitment maneuvers resulted in a significant reduction of major pulmonary and extra-pulmonary complications. Additionally, Prof. Gama de Abreu reviews several studies demonstrating that individualized PEEP does not necessarily avoid complications and has short lasting effects. He concludes his discussion by listing the current recommendations for protective intraoperative mechanical ventilation.
This webinar concludes with Prof. Meyer-Treschan presenting the take-home messages about anaesthesia-induced lung impairment, postoperative pulmonary complications, and the numerous issues and complications faced by anaesthesiologists.
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