The effects of acute isovolemic hemodilution on oxygenation during one-lung ventilation

Anesthesia and Analgesia

Volumn 100, Issue 1, 2005, Pages 15-20

  Szegedi, Laszlo L ^a   Van Der Linden, Philippe ^b   Ducart, Anne ^c   Cosaert, Pieter ^a   Poelaert, Jan ^a   Vermassen, Frank ^a   Mortier, Eric P ^a   D'Hollander, Alain A ^d  

^a GHENT UNIVERSITY HOSPITAL   (Belgium)

^b BRUGMANN UNIVERSITY HOSPITAL   (Belgium)

^c ERASME HOSPITAL   (Belgium)

^d GENEVA UNIVERSITY HOSPITALS   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

ADRENALIN; BUPIVACAINE; CISATRACURIUM; FENTANYL; HEMOGLOBIN; HETASTARCH; LIDOCAINE; PROPOFOL;

ACUTE ISOVOLEMIC HEMODILUTION; ADULT; AGED; ANALYSIS OF VARIANCE; ANESTHESIA INDUCTION; ANESTHESIOLOGICAL TECHNIQUES; ARTERIAL OXYGEN SATURATION; ARTERIAL OXYGEN TENSION; ARTICLE; BLOOD GAS; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; DOUBLE LUMEN TUBE; ENDOBRONCHIAL VENTILATION; ENDOTRACHEAL INTUBATION; EPIDURAL ANESTHESIA; FEMALE; FUNCTIONAL RESIDUAL CAPACITY; HEART OUTPUT; HEART RIGHT LEFT SHUNT; HEMODILUTION; HUMAN; LUNG FUNCTION; LUNG GAS EXCHANGE; LUNG MECHANICS; LUNG RIGHT TO LEFT SHUNT; LUNG SURGERY; LUNG VENTILATION; LUNG VOLUME; MAINTENANCE THERAPY; MALE; OXYGEN TISSUE LEVEL; PLETHYSMOGRAPHY; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SPIROMETRY; STATISTICAL SIGNIFICANCE; SUPINE POSITION; THORACOTOMY; THORAX SURGERY; TIDAL VOLUME; TWO LUNG VENTILATION;

AGED; ANESTHESIA, GENERAL; BLOOD GAS ANALYSIS; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FEMALE; HEMATOCRIT; HEMODILUTION; HEMODYNAMIC PROCESSES; HEMOGLOBINS; HUMANS; INTRAOPERATIVE PERIOD; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; OXYGEN; POSITIVE-PRESSURE RESPIRATION; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RESPIRATION, ARTIFICIAL; RESPIRATORY FUNCTION TESTS; SUPINE POSITION; THORACIC SURGICAL PROCEDURES;

EID: 10944234955     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ANE.0000136771.64552.9C     Document Type: Article

References (21)

1. Benumof JL. Special respiratory physiology of the lateral decubitus position, the open chest and one-lung ventilation. In: Benumof JL, ed. Anesthesia for thoracic surgery. Philadelphia: WB Saunders, 1995:123-51.
2. Goodnough LT, Brecher ME, Kanter MH, AuBuchon JP. Transfusion medicine: first of two parts-blood transfusion. N Engl J Med 1999;340:438-47.
3. 2 tensions. J Appl Physiol 1997;83:1240-6.
4. Deem S, Swenson ER, Alberts MK, et al. Red-blood-cell augmentation of hypoxic pulmonary vasoconstriction: hematocrit dependence and the importance of nitric oxide. Am J Respir Crit Care Med 1998;157:1181-6.
5. Hannallah MS, Benumof JL, McCarthy PO, et al. Comparison of three techniques to inflate the bronchial cuff of left polyvinyl chloride double-lumen tubes. Anesth Analg 1993;77:990-4.
6. Poelaert J, Schmidt C, Van Aken H, et al. A comparison of transoesophageal echocardiographic Doppler across the aortic valve and thermodilution technique for estimating cardiac output. Anaesthesia 1999;54:128-36.
7. Rothen HU, Sporre B, Englberg G, et al. Re-expansion of atelectasis during general anaesthesia: a computed tomography study. Br J Anaesth 1993;71:788-95.
8. Voelkel NF. Mechanism of hypoxic pulmonary vasoconstriction. Am Rev Respir Dis 1986;133:1186-95.
9. McMurtry IF, Hookway BW, Roos SD. Red blood cells play a crucial role in maintaining vascular reactivity to hypoxia in isolated rat lungs. Chest 1977;71:253-6.
10. Hakim TS, Malik AB. Hypoxic vasoconstriction in blood and plasma perfused lungs. Respir Physiol 1988;72:109-21.
11. Deem S, Bishop MJ, Alberts MK. Effect of anemia on intrapulmonary shunt during atelectasis in rabbits. J Appl Physiol 1995;79:1951-7.
12. Deem S, McKinney S, Polissar NL, et al. Hemodilution during venous gas embolisation improves gas exchange, without altering V(A)/Q or pulmonary blood flow distributions. Anesthesiology 1999;91:1861-72.
13. Deem S, Hedges RG, McKinney S, et al. Mechanism of improvement in pulmonary gas exchange during isovolemic hemodilution. J Appl Physiol 1999;87:132-41.
14. Kleen M, Habler O, Hutter J, et al. Hemodilution and hyperoxia locally change distribution of regional pulmonary perfusion in dogs. Am J Physiol Heart Circ Physiol 1995;274:H520-8.
15. Brimioulle S, Lejeune P, Naeije R. Effects of hypoxic pulmonary vasoconstriction on pulmonary gas exchange. J Appl Physiol 1996;81:1535-43.
16. Slinger P. New trends in anaesthesia for thoracic surgery including thoracoscopy. Can J Anaesth 1995;42:R77-84.
17. Van der Linden P. Anemic hypoxia. In: Sibbald WJ, Messmer K, Fink MP, eds. Tissue oxygenation in acute medicine. Berlin: Springer-Verlag, 1998:116-27.
18. Ickx BE, Rigolet M, Van Der Linden PJ. Cardiovascular and metabolic response to acute normovolemic anemia: effects of anesthesia. Anesthesiology 2000;93:1011-6.
19. Benumof JL. Intermittent hypoxia increases lobar hypoxic pulmonary vasoconstriction. Anesthesiology 1983;58:399-404.
20. Carlsson AJ, Bindslev L, Santesson J, et al. Hypoxic pulmonary vasoconstriction in the human lung: the effect of prolonged unilateral hypoxic challenge during anaesthesia. Acta Anaesthesiol Scand 1985;29:346-51.
21. Domino K, Chen L, Alexander C, et al. Time course and responses of sustained hypoxic pulmonary vasoconstriction in the dog. Anesthesiology 1984;60:562-6.