Postoperative Respiratory Failure and Treatment

摘要: Although pure hypoxemic or hypercapnic ­respiratory failure may occur after thoracic surgery, most patients exhibit a mixed picture. The single important preoperative patient-related risk factor for respiratory surgery is the presence of severe COPD. Noninvasive ventilation (NIV) can be safely administered in postthoracic patient, both to reduce complications and prevent need intubation. Mechanical should follow “lung protective” strategy appropriate combinations PEEP low tidal volume, association with increased rate as needed. Ventilator-associated pneumonia (VAP) associated high mortality, so prevention priority. “VAP ­bundle” variety care processes either known believed acquiring VAP. A daily spontaneous breathing trial effective way identify ready withdrawal ventilator support. Tracheotomy considered if mechanical expected required more than total 7–10 days.