CPD Activities

Lung Protective Strategies in Critical Care and Anaesthesia - a Practical approach.

Lung Protective Strategies in Critical Care and Anaesthesia - a Practical approach.

Starting on :09:00 AM 17 May, 2016 Venue:Serena Hotel
Ending on :01:00 PM 28 May, 2016 Max Credits:10.00
Moderator:No Activity Moderator Activity Cost: Free Order


1. Dr. Noah Nganga
Nairobi Hospital KSA


Mechanical ventilation is one of the most common interventions in the critical care setting. Whether it is because of the sick lung or complications of the patient care including sepsis, mechanical ventilation may be useful. However mechanical ventilation itself could be Harmful and could be associated with serious complications including acute lung injury. Ventilators associated lung injury (VALI) through complex interactions can exacerbate existing lung injury and also cause remote organ dysfunction.

Anesthetists also ventilate most of their patients in the operation theatres. No randomized controlled trials are available to guide the optimal use of mechanical ventilation intra operatively. Evidence exists however, to show that excessive use of high pressures or volumes could be harmful to this patient population. Now many anesthetists are employing the same strategies used in intensive care units (ICU) whenever possible.

It is argued that the attendant inflammatory response of mechanical ventilation can, if prolonged, be associated with diffuse organ and tissue damage. Acute lung injury is more likely in certain situations but the common feature is the activation of the neutrophils and pulmonary inflammation.

Pulmonary complications requiring mechanical ventilation have been associated with the high morbidity and mortality, increased length of ICU and hospital stay and increased cost of care.



In this presentation we look at ventilator associated lung injury and strategies available to protect the lung and other organs from harm. 

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