One-lung ventilation in pediatric patients

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Independent Lung Ventilation and One Lung Ventilation

The application of the independent lung ventilation (ILV) in adults has been described by Carlon and co-workers in 1978 and subsequently by other investigators. In 1983 Hedenstierna and coworkers using a bilumen tube suitable for prolonged intubation, and two Servo Ventilator 900 B (Siemens) adapted for synchronization, treated a wide range of clinical conditions. Following this experience, the...

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Methods for single-lung ventilation in pediatric patients.

We reviewed published values for airway measurements in children (Table 1) (1,2). Data from the first study was derived by analyzing fresh autopsy specimens of intact tracheo-bronchial trees from 160 children between the ages of 6 mo and 16 yr (1). Thin cross-sections of the airways were made at various levels and photographed on color slides. By using a metric rule photographed with the specim...

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Breath analysis during one-lung ventilation in cancer patients.

Noninvasive breath analysis may provide valuable information for cancer recognition if disease-specific volatile biomarkers could be identified. In order to compare nondiseased and diseased tissue in vivo, this study took advantage of the special circumstances of one-lung ventilation (OLV) during lung-surgery. 15 cancer patients undergoing lung resection with OLV were enrolled. From each patien...

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BACKGROUND Postoperative pulmonary complications (PPCs), which are not uncommon in one-lung ventilation, are among the main causes of postoperative death after lung surgery. Intra-operative ventilation strategies can influence the incidence of PPCs. High tidal volume (V T) and increased airway pressure may lead to lung injury, while pressure-controlled ventilation and lung-protective strategies...

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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...

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ژورنال

عنوان ژورنال: Medical Journal of Dr. D.Y. Patil University

سال: 2017

ISSN: 0975-2870

DOI: 10.4103/0975-2870.202110