Intraoperative mechanical ventilation during thoracic surgery: contemporary controversies and evolving strategies

The current literature shows a trend toward individualized perioperative ventilation strategies in thoracic surgery, particularly individualized PEEP titration. Therapy bundles and individualized postoperative care, including high-flow nasal oxygen, are emerging as adjuncts to reduce PPCs. Large-scale, definitive trials are needed to determine the clinical value of these strategies and clarify the role of chemical power and therapy bundles.

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Publication Details

Journal
Current Opinion in Anaesthesiology
Published
2025-10-27
DOI
https://doi.org/10.1097/aco.0000000000001587
Primary Topic
Respiratory Support and Mechanisms
Type
article
Field-Weighted Citation Impact
0.00
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article

Intraoperative mechanical ventilation during thoracic surgery: contemporary controversies and evolving strategies

Jakob Wittenstein, Federico Piccioni, Caroline Vanpeteghem, Marcelo Gama de Abreu
Current Opinion in Anaesthesiology
Respiratory Support and Mechanisms
article

Intraoperative mechanical ventilation during thoracic surgery: contemporary controversies and evolving strategies

Jakob Wittenstein, Federico Piccioni, Caroline Vanpeteghem, Marcelo Gama de Abreu
article en

Abstract

The current literature shows a trend toward individualized perioperative ventilation strategies in thoracic surgery, particularly individualized PEEP titration. Therapy bundles and individualized postoperative care, including high-flow nasal oxygen, are emerging as adjuncts to reduce PPCs. Large-scale, definitive trials are needed to determine the clinical value of these strategies and clarify the role of chemical power and therapy bundles.

Current Opinion in AnaesthesiologyVol. 39(1)
Outcomes Research Consortium (US), Ghent University Hospital (BE), University Hospital Carl Gustav Carus (DE), IRCCS Humanitas Research Hospital (IT), Resuscitation Council (GB)
Openalex Percentile: Top 51%
Respiratory Support and Mechanisms
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Intraoperative mechanical ventilation during thoracic surgery: contemporary controversies and evolving strategies — Jakob Wittenstein, Federico Piccioni, et al. · Current Opinion in Anaesthesiology (2025) | TGRS Research Map | TGRS