Effects of head-down tilt on intrapulmonary shunt fraction and oxygenation during one-lung ventilation in the lateral decubitus position

Journal of Thoracic and Cardiovascular Surgery

Volumn 134, Issue 3, 2007, Pages 613-618

  Choi, Yong Seon ^a   Bang, Sou Ouk ^a   Shim, Jae Kwang ^a   Chung, Kyung Young ^a   Kwak, Young Lan ^a   Hong, Yong Woo ^a  

^a Yonsei University College of Medicine   (South Korea)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ANALYTIC METHOD; ARTERIAL OXYGEN TENSION; ARTICLE; CLINICAL ARTICLE; COMPARATIVE STUDY; CONTROLLED STUDY; FEMALE; HEAD TILTING; HEART INDEX; HEMODYNAMICS; HUMAN; LUNG ARTERIOVENOUS SHUNT; LUNG VENTILATION; MALE; MEASUREMENT; OXYGENATION; PATIENT POSITIONING; PRIORITY JOURNAL;

FEMALE; HEAD-DOWN TILT; HUMANS; MALE; MIDDLE AGED; POSTURE; RESPIRATION, ARTIFICIAL;

EID: 34548126987     PISSN: 00225223     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jtcvs.2007.05.018     Document Type: Article

References (22)

1. Guenoun T., Journois D., Silleran-Chassany J., Frappier J., D'attellis N., Salem A., et al. Prediction of arterial oxygen tension during one-lung ventilation: analysis of preoperative and intraoperative variables. J Cardiothorac Vasc Anesth 16 (2002) 199-203
2. Eisenkraft J.B. Effects of anesthetics on the pulmonary circulation. Br J Anesth 65 (1990) 63-78
3. Watanabe S., Noguchi E., Yamada S., Hamada N., and Kano T. Sequential changes of arterial oxygen tension in the supine position during one-lung ventilation. Anesth Analg 90 (2000) 28-34
4. Kardos A., Foldesi C., Nagy A., Saringer A., Kiss A., Kiss G., et al. Trendelenburg positioning does not prevent a decrease in cardiac output after induction of anaesthesia with propofol in children. Acta Anaesthesiol Scand 50 (2006) 869-874
5. Hirvonen E.A., Nuutinen L.S., and Kauko M. Hemodynamic changes due to Trendelenburg positioning and pneumoperitoneum during laparoscopic hysterectomy. Acta Anaesthesiol Scand 39 (1995) 949-955
6. Wilcox S., and Vandam L.D. Alas, poor Trendelenburg and his position! A critique of its uses and effectiveness. Anesth Analg 67 (1988) 574-578
7. Terai C., Anada H., Matsushima S., Shimizu S., and Okada Y. Effects of mild Trendelenburg on central hemodynamics and internal jugular vein velocity, cross-sectional area, and flow. Am J Emerg Med 13 (1995) 255-258
8. Reich D.L., Konstadt S.N., Raissi S., Hubbard M., and Thys D.M. Trendelenburg position and passive leg raising do not significantly improve cardiopulmonary performance in the anesthetized patient with coronary artery disease. Crit Care Med 17 (1989) 313-317
9. Reuter D.A., Felbinger T.W., Schmidt C., Moerstedt K., Kilger E., Lamm P., et al. Trendelenburg positioning after cardiac surgery: effects on intrathoracic blood volume index and cardiac performance. Eur J Anaesthesiol 20 (2003) 17-20
10. Ostrow C.L., Hupp E., and Topjian D. The effect of Trendelenburg and modified Trendelenburg positions on cardiac output, blood pressure, and oxygenation: a preliminary study. Am J Crit Care 3 (1994) 382-386
11. Sing R.F., O'Hara D., Sawyer M.A., and Marino P.L. Trendelenburg position and oxygen transport in hypovolemic adults. Ann Emerg Med 23 (1994) 564-567
12. Gentili D.R., Benjamin E., Berger S.R., and Iberti T.J. Cardiopulmonary effects of the head-down tilt position in elderly postoperative patients: a prospective study. South Med J 81 (1988) 1258-1260
13. Chow M.Y., Goh M.H., Boey S.K., Thirugnanam A., and Ip-Yam P.C. The effects of remifentanil and thoracic epidural on oxygenation and pulmonary shunt fraction during one-lung ventilation. J Cardiothorac Vasc Anesth 17 (2003) 69-72
14. Ross D.J., Wu P., and Mohsenifar Z. Assessment of postural differences in regional pulmonary perfusion in man by single-photon emission computerized tomography. Clin Sci (Lond) 92 (1997) 81-85
15. Wulff K.E., and Aulin I. The regional lung function in the lateral decubitus position during anesthesia and operation. Acta Anaesthesiol Scand 16 (1972) 195-205
16. Rehder K., Sessler A.D., and Rodarte J.R. Regional intrapulmonary gas distribution in awake and anesthetized-paralyzed man. J Appl Physiol 42 (1977) 391-402
17. Klingstedt C., Hedenstierna G., Lundquist H., Strandberg A., Tokics L., and Brismar B. The influence of body position and differential ventilation on lung dimensions and atelectasis formation in anaesthetized man. Acta Anaesthesiol Scand 34 (1990) 315-322
18. Garutti I., Quintana B., Olmedilla L., Cruz A., Barranco M., and Garcia de Lucas E. Arterial oxygenation during one-lung ventilation: combined versus general anesthesia. Anesth Analg 88 (1999) 494-499
19. Tokics L., Hedenstierna G., Strandberg A., Brismar B., and Lundquist H. Lung collapse and gas exchange during general anesthesia: effects of spontaneous breathing, muscle paralysis, and positive end-expiratory pressure. Anesthesiology 66 (1987) 157-167
20. Domino K.B., Wetstein L., Glasser S.A., Lindgren L., Marshall C., Harken A., et al. Influence of mixed venous oxygen tension (PVO2) on blood flow to atelectatic lung. Anesthesiology 59 (1983) 428-434
21. Benumof J.L. One-lung ventilation and hypoxic pulmonary vasoconstriction: implications for anesthetic management. Anesth Analg 64 (1985) 821-833
22. Bindslev L., Jolin A., Hedenstierna G., Baehrendtz S., and Santesson J. Hypoxic pulmonary vasoconstriction in the human lung: effect of repeated hypoxic challenges during anesthesia. Anesthesiology 62 (1985) 621-625