Posa D, Sbaraglia F, Ferrone G, Rossi M. Driving pressure: A useful tool for reducing postoperative pulmonary complications. World J Crit Care Med 2024; 13(3): 96214 [PMID: 39253315 DOI: 10.5492/wjccm.v13.i3.96214]
Corresponding Author of This Article
Domenico Posa, MD, Doctor, Department of Emergency, Intensive Care Medicine and Anaesthesia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Francesco Vito 1, Rome 00168, Lazio, Italy. domenico.posa@gmail.com
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Crit Care Med. Sep 9, 2024; 13(3): 96214 Published online Sep 9, 2024. doi: 10.5492/wjccm.v13.i3.96214
Driving pressure: A useful tool for reducing postoperative pulmonary complications
Domenico Posa, Fabio Sbaraglia, Giuliano Ferrone, Marco Rossi
Domenico Posa, Fabio Sbaraglia, Giuliano Ferrone, Marco Rossi, Department of Emergency, Intensive Care Medicine and Anaesthesia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome 00168, Lazio, Italy
Author contributions: Posa D was the primary researcher, responsible for writing the letter to the editor and selecting the reference literature; Sbaraglia F and Ferrone G reviewed the accuracy of the content and the structure of the article to ensure it was suitable for publication; Rossi M coordinated the working group and conducted the final revision of the letter to the editor.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Domenico Posa, MD, Doctor, Department of Emergency, Intensive Care Medicine and Anaesthesia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Francesco Vito 1, Rome 00168, Lazio, Italy. domenico.posa@gmail.com
Received: April 29, 2024 Revised: June 7, 2024 Accepted: June 25, 2024 Published online: September 9, 2024 Processing time: 122 Days and 15.6 Hours
Abstract
The operating room is a unique environment where surgery exposes patients to non-physiological changes that can compromise lung mechanics. Therefore, raising clinicians’ awareness of the potential risk of ventilator-induced lung injury (VILI) is mandatory. Driving pressure is a useful tool for reducing lung complications in patients with acute respiratory distress syndrome and those undergoing elective surgery. Driving pressure has been most extensively studied in the context of single-lung ventilation during thoracic surgery. However, the awareness of association of VILI risk and patient positioning (prone, beach-chair, park-bench) and type of surgery must be raised.
Core Tip: Driving pressure is a fundamental tool in patients with acute respiratory distress syndrome and those in the operative room setting. Surgery exposes patients to physiological and non-physiological modifications that compromise their mechanical lung properties. Raising awareness of the potential risk of ventilator-induced lung injury should be mandatory for clinicians to reduce postoperative lung complications.
