Approaches to hypoxemia during single-lung ventilation.
نویسنده
چکیده
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 content of blood returning from the collapsed lung.
منابع مشابه
Approaches to refractory hypoxemia in acute respiratory distress syndrome: current understanding, evidence, and debate.
Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) cause substantial morbidity and mortality despite our improved understanding of lung injury, advancements in the application of lung-protective ventilation, and strategies to prevent ventilator-induced lung injury. Severe refractory hypoxemia may develop in a subset of patients with severe ARDS. We review several approaches...
متن کاملCase 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 کاملArterial Oxygenation and Management of Hypoxemia During VATS
The volume and complexity of thoracic procedures performed with a thoracoscopic approach are steadily increasing. Surgical exposure is paramount for thoracoscopic procedures and requires meticulous lung isolation. In this review, the physiological adaptive mechanisms that occur during one-lung ventilation (OLV) are discussed. Factors that predict the occurrence of hypoxemia during OLV and a str...
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 کاملSevere hypoxemia during carinal resection in the lateral position under one-lung ventilation of a non-dependent lung: a case report
During one-lung ventilation (OLV) in the lateral position, the dependent, ventilated lung receives more blood flow than the non-dependent, non-ventilated lung owing to gravity, improving the match of ventilation and perfusion. Conversely, in the rare clinical situations when OLV is applied to the non-dependent lung, arterial oxygenation can get worse due to considerable shunt flow to the depend...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Current opinion in anaesthesiology
دوره 14 1 شماره
صفحات -
تاریخ انتشار 2001