ASA and its journal, Anesthesiology®, announce the 23rd annual Journal Symposium to be held at the ANESTHESIOLOGY™ 2014 annual meeting, October 14, 2014, in New Orleans. The 2014 Journal Symposium will highlight up-and-coming and noteworthy concepts in anesthesia research and clinical practice. The title of the 2014 Journal Symposium is “How to Mechanically Ventilate Patients in the Operating Room in 2014” and will feature the following moderators and speakers:
Jeanine Wiener-Kronish, M.D., Anesthetist-in-Chief, Massachusetts General Hospital, Henry Isaiah Dorr Professor, Harvard Medical School; and, Jean-Francois Pittet, M.D., Professor of Anesthesia, University of Alabama, Birmingham.
1. Mechanistic Basis for Protective Intraoperative Mechanical Ventilation
Marcos F. Vidal Melo, M.D., Ph.D., Associate Anesthetist, Massachusetts General Hospital, Associate Professor of Anesthesia, Harvard Medical School
2. Intraoperative Ventilation Practices and Quality Improvement
Ana Fernandez-Bustamante, M.D., Ph.D., Assistant Professor of Anesthesiology, University of Colorado School of Medicine
3. Protective Ventilation During General Anesthesia: The PROVHILO Trial
Paolo Pelosi, M.D., Professor of Anesthesiology, University of Genoa, Genoa, Italy
There are increasing data documenting improved outcomes in surgical patients without pre-existing lung injury who are ventilated with protective ventilatory strategies. In a recent meta-analysis, patients without acute respiratory distress syndrome receiving lower tidal volumes had a significantly lower incidence of pulmonary infection, hospital length of stay, lung injury and mortality.1 Intraoperative positive end-expiratory pressure settings could play a substantial role in preventing those postoperative complications.2 Data are still conflicting on the role of intraoperative FIO2 on surgical site infection.3 Should all patients be ventilated with lower tidal volume, higher PEEP and lower FIO2? Should intraoperative tidal volume and plateau pressure become quality measures? How should anesthesiologists individualize mechanical ventilation in an increasingly complex patient population?
Three experts will introduce these topics for the first 90 minutes of the symposium, with 20-minute presentations and 10-minute discussions. The speakers will discuss the recent evidence for the effects of protective ventilation on postoperative outcomes in surgical patients, including the data from the PROVHILO international trial and the issues with the implementation of protective ventilatory strategies into clinical practice.
We invite abstracts on this topic from all related fields: basic science, translational, clinical and quality research. The top eight abstracts will be presented orally during the second half of the symposium.
1. Serpa Neto A, Cardoso SO, Manetta JA, et al. Association between use of lung-protective ventilation with lower tidal volumes and clinical outcomes among patients without acute respiratory distress syndrome: a meta-analysis. JAMA. 2012;308(16):1651-1659.
2. Severgnini P, Selmo G, Lanza C, et al. Protective mechanical ventilation during general anesthesia for open abdominal surgery improves postoperative pulmonary function. Anesthesiology. 2013;118(6):1307-1321.
3. Meyhoff CS, Wetterslev J, Jorgensen LN, et al.; PROXI Trial Group. Effect of high perioperative oxygen fraction on surgical site infection and pulmonary complications after abdominal surgery: the PROXI randomized clinical trial. JAMA. 2009;302(14):1543-1550.