Do Low Tidal Volumes Decrease Lung Injury During One-Lung Ventilation?
نویسندگان
چکیده
منابع مشابه
Using recruitment maneuvers to decrease tidal volumes during one-lung ventilation.
N O anesthesiologist has failed to be amazed at the process of reexpanding the lung after thoracotomy. A long sustained breath turns a meaty atelectatic organ into a pink and airy one, one acinar unit at a time. During thoracic surgeries, the one ventilated lung has to sustain the patient. Overcoming hypoxemia is the battle for thoracic anesthesiologists. What is the best ventilatory strategy t...
متن کاملRole of continuous positive airway pressure to the non-ventilated lung during one-lung ventilation with low tidal volumes
INTRODUCTION In multiple study populations large tidal volumes (8 - 12 ml/kg) have deleterious effects on lung function in multiple study populations. The accepted approach to hypoxemia during one-lung ventilation is the application of continuous positive airway pressure to the non-ventilated lung first, followed by application of positive end-expiratory pressure to the ventilated lung. To our ...
متن کاملVentilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury.
Traditional approaches to mechanical ventilation use tidal volumes of 10 to 15 ml per kilogram of body weight. These volumes are larger than those in normal subjects at rest (range, 7 to 8 ml per kilogram), but they are frequently necessary to achieve normal values for the partial pressure of arterial carbon dioxide and pH. Since atelectasis and edema reduce aerated lung volumes in patients wit...
متن کاملOne-Lung Ventilation with Additional Ipsilateral Ventilation of Low Tidal Volume and High Frequency in Lung Lobectomy
BACKGROUND To investigate the protective effects of additional ipsilateral ventilation of low tidal volume and high frequency on lung functions in the patients receiving lobectomy. MATERIAL AND METHODS Sixty patients receiving lung lobectomy were randomized into the conventional one-lung ventilation (CV) group (n=30) and the ipsilateral low tidal volume high frequency ventilation (LV) group (n=...
متن کاملMathematical modelling to centre low tidal volumes following acute lung injury: A study with biologically variable ventilation
BACKGROUND With biologically variable ventilation [BVV--using a computer-controller to add breath-to-breath variability to respiratory frequency (f) and tidal volume (VT)] gas exchange and respiratory mechanics were compared using the ARDSNet low VT algorithm (Control) versus an approach using mathematical modelling to individually optimise VT at the point of maximal compliance change on the co...
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ژورنال
عنوان ژورنال: Journal of Cardiothoracic and Vascular Anesthesia
سال: 2017
ISSN: 1053-0770
DOI: 10.1053/j.jvca.2017.07.005