Low lung volume ventilation (6mL/kg) can decrease mortality in critically ill patients with the acute respiratory distress syndrome.35 Even in patients who have not developed the acute respiratory distress syndrome; initiation of low lung volume ventilation can improve outcome. Consider initiation of low lung volume ventilation in the OR.
Communication with the next role of care is vital to maintaining continuity of care. In the deployed setting this may entail a face-to-face conversation with the intensive care unit team, or a report transmitted to a critical care air transport team. (See Interfacility Transport of Patients between Theater Medical Treatment Facilities CPG) A detailed written report/anesthetic record documents the operative resuscitation and facilitates transition to the next role of care. Being immediately available in the post-operative period to answer any questions can clarify any issues that may arise.