Evidence-Based Practice Guidelines for Lung Protective Ventilation in Adult Patients Undergoing Abdominal Laparoscopic Surgery

Abstract

The rise in abdominal laparoscopic surgeries has underscored the need for improved ventilation strategies to reduce postoperative pulmonary complications, such as atelectasis, ventilator-induced lung injury, and pneumonia. These complications can increase hospital stays, healthcare costs, and mortality. This final scholarly project investigates the impact of lung protective ventilation in adult patients undergoing abdominal laparoscopic procedures and proposes guidelines for implementation. Lung protective ventilation strategies, including low tidal volume ventilation, individualized positive end-expiratory pressure, and recruitment maneuvers. Current research shows potential in mitigating postoperative pulmonary complications by improving intraoperative oxygenation and lung compliance. Using the Johns Hopkins Evidence-Based Practice model, this project critically reviews current literature, identifies gaps in practice, and formulates an evidence-based framework tailored for the perioperative setting. The primary aim was to develop and standardize lung protective ventilation guidelines to enhance patient outcomes and minimize postoperative pulmonary complications’ clinical and economic impacts. The secondary aim was to increase adherence to lung protective ventilation practices among Certified Registered Nurse Anesthetists and anesthesia teams through education and structured implementation protocols. Findings from this project are intended to support the broader adoption of lung protective ventilation in clinical practice, setting a new standard for safer, more effective ventilation management during laparoscopic surgery