Postoperative pulmonary complications and thoracic patients

Strategies for the prevention of postoperative pulmonary complications

“…The authors therefore advocate for the use of VCV, an appropriate level of PEEP and low driving pressures to reduce postoperative pulmonary complications . Their methods, results and conclusions have attracted much attention and we believe several aspects of their study warrant further discussion. Although there is good evidence supporting the theory that intra‐operative high tidal volumes, high driving pressures and low or no PEEP increase the risk of postoperative pulmonary complications , there is no clinical evidence or biological rationale as to why PCV alone should be any riskier than VCV .…”