2022
DOI: 10.1213/ane.0000000000006325
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Minimizing Lung Injury During Laparoscopy in Head-Down Tilt: A Physiological Cohort Study

Abstract: BACKGROUND: Increased intra-abdominal pressure during laparoscopy induces atelectasis. Positive end-expiratory pressure (PEEP) can alleviate atelectasis but may cause hyperinflation. Cyclic opening of collapsed alveoli and hyperinflation can lead to ventilator-induced lung injury and postoperative pulmonary complications. We aimed to study the effect of PEEP on atelectasis, lung stress, and hyperinflation during laparoscopy in the head-down (Trendelenburg) position. … Show more

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