ON THE COVER:
One-lung ventilation during thoracic surgery places patients at added risk of ventilatorinduced lung injury. Recently studies have suggested that pulmonary complications are related to driving pressure more than any other ventilatory parameter. In this issue of Anesthesiology, Park et al. compared driving pressure–guided ventilation with conventional protective ventilation in thoracic surgery in a double-blind randomized controlled study of 292 patients. Application of the driving pressure–guided ventilation during one-lung ventilation was associated with a lower incidence of postoperative pulmonary complications compared to conventional protective ventilation in thoracic surgery.
Park et al.: Driving Pressure during Thoracic Surgery: A Randomized Clinical Trial, p. 385