Recommendations from the 2018 International Consensus Meeting on Lung Protective Ventilation Strategies in the OR

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Class A Credits: 0.75

Format: Video

Run time: 43 mins

Course Launch Date: 1/17/20

Course Expires: 1/16/23

Perioperative mechanical ventilation strategies are not currently individualized to patient body habitus, surgical procedures, and patient positioning. This lack of individualization can lead to ventilator induced lung injury and postoperative pulmonary complications. Evidence-based ventilation strategies to prevent lung damage and reduce postoperative pulmonary complications have been available for over ten years but have not been widely adopted due to a lack of provider familiarity, conflicting research findings, and a lack of expert consensus. Lung protective ventilation strategies that have been shown to improve patient outcomes include low tidal volume, patient individualized PEEP, recruitment maneuvers, and low FiO2.


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  • Discuss current inconsistencies in ventilation strategies and how these contribute to the development of postoperative pulmonary complications.
  • Compare and contrast open lung ventilation strategies and techniques and how these can decrease patients' risk for postoperative pulmonary complications.
  • Discuss the process used to develop open lung ventilation recommendations including question development, literature review and grading, and the Delphi process to achieve consensus.

Jaclyn Migliarese, BSN, RN, SRNA

Jaclyn Migliarese, BSN, RN is a second-year student in the Duke University Nurse Anesthesia Program. She was one of six research contributors to the Systematic Review for the International Lung Protective Ventilation Forum held in Frankfurt, Germany in October 2018. Ms. Migliarese is a co-coordinator of the Lung Protective Ventilation Protocol being implemented at Duke University Hospital in Durham, North Carolina.



Stephan Bodnar, BSN, RN, SRNA

Stephan Bodnar, BSN, RN is a second-year student in the Duke University Nurse Anesthesia Program. He was one of six research contributors to the Systematic Review for the International Lung Protective Ventilation Forum held in Frankfurt, Germany in October 2018. Mr. Bodnar is a co-coordinator of the Lung Protective Ventilation Protocol being implemented at Duke University Hospital in Durham, North Carolina.


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