成人非心胸手术围手术期机械通气专家共识  

Perioperative mechanical ventilation for adult non-cardiothoracic surgical patients:a Delphi consensus

作　　者：成都医学会麻醉专业委员会 重庆市医学会麻醉专科分会 余海 李洪 孙琪荣 李雪霏 崔宇 Anesthesia Committee of Chengdu Medical Association;Chongqing Medical Association Anesthesiology Branch;YU Hai;LI Hong

机构地区：[1]不详 [2]四川大学华西医院 [3]陆军军医大学第二附属医院 [4]电子科技大学附属成都市妇女儿童中心医院

出　　处：《华西医学》2024年第11期1679-1690,共12页West China Medical Journal

基　　金：四川省科学技术厅重点研发项目(2024YFFK0255)。

摘　　要：围手术期机械通气与肺损伤和术后肺部并发症风险增加相关,但目前就如何在手术患者机械通气期间提供最佳肺保护这一关键临床问题尚缺乏共识,有必要制定适合我国麻醉医生应用的围手术期机械通气专家共识以更好地指导临床实践。四川大学华西医院组织成都医学会麻醉专业委员会和重庆市医学会麻醉专科分会专家提出关于围手术期机械通气的若干问题,对现有文献进行回顾并征求专家意见,最后采用改良德尔菲法建立了该专家共识,制定出28条具有中-高级证据质量的推荐。Perioperative mechanical ventilation plays a role in lung injury and postoperative pulmonary complications,yet a consensus in the literature concerning the key clinical question of how to best provide lung protection during mechanical ventilation in surgical patients is lacking.It is necessary to develop an expert consensus on perioperative mechanical ventilation suitable for Chinese anesthesiologists to better guide clinical practice.The experts from the Anesthesia Committee of Chengdu Medical Association and the Chongqing Medical Association Anesthesiology Branch were organized by West China Hospital of Sichuan University to propose the question regarding the perioperative mechanical ventilation,and the current literature was then reviewed,and expert opinions were solicited to provide evidence-based guidance.Subsequently,the expert panel reached a consensus and formulated 28 recommendations with evidence of moderate to high quality using the modified Delphi method.

关 键 词：围手术期 机械通气 肺损伤 肺部并发症 肺保护性通气 专家共识 

分 类 号：R614[医药卫生—麻醉学]