Intraoperative hypoxemia during one-lung ventilation: Is it still an anesthesiologists' nightmare? (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...
متن کاملApproaches to hypoxemia during single-lung ventilation.
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 ...
متن کاملPhenylephrine to Treat Hypoxemia during One-Lung Ventilation in a Pediatric Patient
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 کاملPressure-controlled ventilation and intrabronchial pressure during one-lung ventilation.
BACKGROUND Pressure-controlled ventilation (PCV) has been suggested to reduce peak airway pressure (P(peak)) and intrapulmonary shunt during one-lung ventilation (OLV) when compared with volume-controlled ventilation (VCV). At the same tidal volume (V(T)), the apparent difference in P(peak) is mainly related to the presence of a double-lumen tracheal tube. We tested the hypothesis that the decr...
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ژورنال
عنوان ژورنال: Serbian Journal of Anesthesia and Intensive Therapy
سال: 2019
ISSN: 2217-7744,2466-488X
DOI: 10.5937/sjait1902037j