Skip Navigation LinksHome > January 2009 - Volume 26 - Issue 1 > Ventilatory management during routine general anaesthesia
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European Journal of Anaesthesiology:
doi: 10.1097/EJA.0b000e000000f1fb
Review

Ventilatory management during routine general anaesthesia

Hans, Gregory Aa; Sottiaux, Thierry Mb; Lamy, Maurice La; Joris, Jean La

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Abstract

Intraoperative hypoxaemia and postoperative respiratory complications remain the challenges of modern anaesthetic practice. Anaesthesia causes both depression of respiratory centres and profound changes of respiratory mechanics. Most anaesthetized patients consequently require mechanical ventilation and supplemental oxygen. Recent data suggest that intraoperative respiratory management of a patient can affect postoperative outcome. In this review, we briefly describe the mechanisms responsible for the impairment of intraoperative gas exchange and provide guidelines to prevent or manage hypoxaemia. Moreover, we discuss several aspects of mechanical ventilation that can be employed to improve patients' outcome.

© 2009 European Society of Anaesthesiology

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