CRNA perception of lung protective ventilation for the intubated patient

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)

Briana A. Glaspy (Creator)

Institution

The University of North Carolina at Greensboro (UNCG )

Web Site: http://library.uncg.edu/

Advisor

Terry Wicks

Abstract: Background: Alveolar collapse [atelectasis] occurs in over 90% of intubated patients and leads to altered lung mechanics. Atelectasis can lead to postoperative pulmonary complications (PPCs), which increase morbidity and mortality. Lung Protective Ventilation has the potential to reduce PPCs intraoperatively. Purpose: This QI project seeks to evaluate the current evidence supporting LPV and to provide consensus recommendations to practicing anesthesia providers with the goal of standardizing lung-protective ventilation strategies for intubated patients receiving general anesthesia. Methods: Practicing anesthesia providers received an education in-service detailing current research in support of LPV and practice recommendations. Prior to the presentation, a pre-intervention survey was administered and approximately 8 weeks later an identical survey was administered to determine if practice changed. Results: McNemar test was used to assess binary paired data and revealed acceptance of the null hypothesis. Qualitative analysis reveals varied growth in knowledge and utilization of LPV following the educational intervention. Recommendations and Conclusion: Research studies are needed to determine patient-specific optimal PEEP levels. Facilities should prioritize continuing education and LPV protocols to encourage uniformity in practice.

CRNA perception of lung protective ventilation for the intubated patient
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Created on 2/3/2023
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Additional Information

Publication

Dissertation

Language: English

Date: 2022

Keywords

Lung protective ventilation, protective lung ventilation, post-operative pulmonary complications, atelectasis, alveolar collapse, alveolar recruitment maneuver, alveolar recruitment

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