Advanced pressure control modes of ventilation in cardiac surgery: Scanty evidence or unexplored terrain?

Satyen Parida, Prasanna Udupi Bidkar

Indian Journal of Critical Care Medicine 2016 20(3):169-172

Lung atelectasis resulting after cardiopulmonary bypass (CPB) can result in increased intrapulmonary shunting and consequent hypoxemia. Advanced pressure control modes of ventilation might have at least a theoretical advantage over conventional modes by assuring a minimum target tidal volume delivery at reasonable pressures, thus having potential advantages while ventilating patients with pulmonary atelectasis postcardiac surgery. However, the utility of these modes in the post-CPB setting have not been widely investigated, and their role in cardiac intensive care, therefore, remains quite limited.

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