Case Reports

CASE REPORTS

Flow–controlled ventilation will be applied in individual patients undergoing diverse surgical procedures to explore its clinical utility across various settings

These case studies, including minimally invasive abdominal, bariatric, and thoracic surgeries (with one-lung ventilation) will demonstrate the capabilities and potential advantages of FCV in challenging intraoperative conditions.

Each case will illustrate how FCV can be implemented in distinct surgical and extreme clinical scenarios that have not yet been systematically investigated. The resulting case reports and case series will be published in peer-reviewed journals and serve as precursors for upcoming multicenter (pilot) trials. These future studies aim to confirm the observed physiological benefits, safety, and feasibility of FCV, and ultimately assess its impact on postoperative pulmonary outcomes.

FCV in obese Patients

Ventilating obese patients during surgery is challenging due to altered respiratory mechanics and the risk of hemodynamic instability. In a patient with extreme obesity undergoing bariatric surgery, conventional ventilation failed to maintain adequate oxygenation and respiratory compliance, whereas FCV markedly improved gas exchange. This case suggests that FCV may optimize intraoperative ventilation, enhance gas exchange, and reduce cardiopulmonary stress in high-risk obese patients.

This case report has been published in a peer-reviewed journal.

FCV in one-lung ventilation

One-lung ventilation during thoracic surgery is challenging due to impaired respiratory mechanics and hemodynamic stability. In a case series of three patients, FCV was compared with conventional pressure-controlled ventilation and showed improved gas exchange and stable ventilation parameters without repeated recruitment maneuvers. This case series suggests that FCV may enhance oxygenation, reduce lung injury, and improve stability during one-lung ventilation.

This case series has been published in a peer-reviewed journal.

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