Case Scenario: Management of Intraoperative Hypoxemia during One-lung Ventilation
نویسندگان
چکیده
منابع مشابه
Case scenario: Management of intraoperative hypoxemia during one-lung ventilation.
H YPOXEMIA that may reasonably be defined by an arterial hemoglobin oxygen saturation of less than 90% occurs in 5–10% of patients during one-lung ventilation (OLV). The physiopathology of hypoxemia is complex, and the management of intraoperative hypoxemia during OLV remains a challenge for anesthesiologists. In life-threatening hypoxemia, correct oxygenation should be restored rapidly. This m...
متن کاملPharmacological Treatment of Hypoxemia during One-lung Ventilation.
To the Editor: We read with great interest the Case Scenario on hypoxemia during one-lung ventilation (OLV) reported by Rozé et al., and we would like to add some comments on pharmacological treatment. First, the title of the section, “Pharmacological treatment to limit hypoxic pulmonary vasoconstriction,” could, in our opinion, lead to confusion. Almitrine does not limit hypoxic pulmonary vaso...
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Modern techniques to isolate the lungs, coupled with accurate continuous non-invasive monitoring, have made single-lung ventilation safe and easy to perform. Most patients maintain an adequate arterial oxygen tension during single-lung ventilation. In order to maximize oxygenation, efforts are directed towards optimizing perfusion and ventilation to the ventilated lung or increasing the oxygen ...
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To improve surgical visualization and facilitate the procedure, one-lung ventilation (OLV) is frequently used during thoracic surgery. Although generally well tolerated, the ventilation-perfusion inequality induced by OLV may lead to a decrease in oxygenation and, at times, hypoxemia. Effective treatment algorithms and strategies are necessary for the treatment of hypoxemia during OLV to ensure...
متن کاملClinical Management of One-Lung Ventilation
Ventilation needs to be individualized for the underlying • lung pathology. Ventilation is a modifiable risk factor for acute lung injury. • Protective lung ventilation is a combination of small tidal • volumes, low peak and plateau pressures, routine PEEP and permissive hypercapnea. Hypoxia during one-lung ventilation is rare and often sec• ondary to alveolar de-recruitment in the face of hypo...
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ژورنال
عنوان ژورنال: Anesthesiology
سال: 2011
ISSN: 0003-3022
DOI: 10.1097/aln.0b013e3182023ed3