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Russell WJ. Intermittent positive airway pressure to manage hypoxia during one-lung anaesthesia. Anaesth Intensive Care 2009; 37:432-434. Intermittent positive pressure technique for the operative lung. Another CPAP modification with minimal recruitment and therefore minimal impact on visualization
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Compressing the nondependent lung during one-lung ventilation improves arterial oxygenation, but impairs systemic oxygen delivery by decreasing cardiac output
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Follow-up study on nondependent lung compression during esophagectomy. The authors re-confirm that this maneuver does improve arterial oxygenation during OLV; however, identify decreases in systemic oxygen delivery due to changes in cardiac output. The authors propose the addition of an inotropic agent to circumvent the decrease in cardiac output, which they since have proven effective
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Ishikawa S, Shirasawa M, Fujisawa M, et al. Compressing the nondependent lung during one-lung ventilation improves arterial oxygenation, but impairs systemic oxygen delivery by decreasing cardiac output. J Anesth 2010; 24:17-23. Follow-up study on nondependent lung compression during esophagectomy. The authors re-confirm that this maneuver does improve arterial oxygenation during OLV; however, identify decreases in systemic oxygen delivery due to changes in cardiac output. The authors propose the addition of an inotropic agent to circumvent the decrease in cardiac output, which they since have proven effective.
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46
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High-frequency jet ventilation as an alternative method compared to conventional one-lung ventilation using double-lumen tubes: A study of 40 patients undergoing minimally invasive coronary artery bypass graft surgery
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This study confirms the findings by Misiolek that two-lung HFJV is a feasible alternative to conventional OLV, providing improved oxygenation and no impairment in surgical exposure
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Ender J, Brodowsky M, Falk V, et al. High-frequency jet ventilation as an alternative method compared to conventional one-lung ventilation using double-lumen tubes: a study of 40 patients undergoing minimally invasive coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth 2010; 24:602-607. This study confirms the findings by Misiolek that two-lung HFJV is a feasible alternative to conventional OLV, providing improved oxygenation and no impairment in surgical exposure.
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Ender, J.1
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Comparison of double-lung jet ventilation and one-lung ventilation for thoracotomy
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Case report illustrating the potential for HFJV to markedly improve oxygenation in the setting of severe hyperinflation secondary to bullous emphysema
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Lohser J, Smyth CE, Yee J. High-frequency jet ventilation rescue of an offpump single-lung transplant. J Cardiothorac Vasc Anesth 2009; 23:846-849. Case report illustrating the potential for HFJV to markedly improve oxygenation in the setting of severe hyperinflation secondary to bullous emphysema.
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J Cardiothorac Vasc Anesth
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This study examines the utility of high-frequency percussive ventilation (HFPV) or CPAP to the nondependent lung during OLV. More remarkable than the improved arterial oxygenation with HFPV is the fact that postoperative outcomes, in particular hospital length of stay were improved with HFPV
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Lucangelo U, Antonaglia V, Zin WA, et al. High-frequency percussive ventilation improves perioperatively clinical evolution in pulmonary resection. Crit Care Med 2009; 37:1663-1669. This study examines the utility of high-frequency percussive ventilation (HFPV) or CPAP to the nondependent lung during OLV. More remarkable than the improved arterial oxygenation with HFPV is the fact that postoperative outcomes, in particular hospital length of stay were improved with HFPV.
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Case report demonstrating the efficacy of inhaled epoprostenol in the treatment of hypoxemia during OLV
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Raghunathan K, Connelly NR, Robbins LD, et al. Inhaled epoprostenol during one-lung ventilation. Ann Thorac Surg 2010; 89:981-983. Case report demonstrating the efficacy of inhaled epoprostenol in the treatment of hypoxemia during OLV.
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The effect of left heart bypass on pulmonary blood flow and arterial oxygenation during one-lung ventilation in patients undergoing descending thoracic aortic surgery
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This study showed that left heart bypass, which does not contain an oxygenator, improves arterial oxygenation during OLV by alternating the balance of pulmonary blood flow between the two lungs
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Yuki K, Sakuramoto C, Matsumoto C, et al. The effect of left heart bypass on pulmonary blood flow and arterial oxygenation during one-lung ventilation in patients undergoing descending thoracic aortic surgery. J Clin Anesth 2009; 21:562-566. This study showed that left heart bypass, which does not contain an oxygenator, improves arterial oxygenation during OLV by alternating the balance of pulmonary blood flow between the two lungs.
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Comprehensive review of the factors, which help to predict, prevent or treat hypoxemia during OLV. Complete with multiple easily understandable diagrams
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Karzai W, Schwarzkopf K. Hypoxemia during one-lung ventilation. Anesthesiology 2009; 110:1402-1411. Comprehensive review of the factors, which help to predict, prevent or treat hypoxemia during OLV. Complete with multiple easily understandable diagrams.
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The association between the initial endtidal carbon dioxide difference and the lowest arterial oxygen tension value obtained during one-lung anesthesia with propofol or sevoflurane
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2, the lower the expected Pao2 during OLV. The authors propose that a larger gradient indicates more significant pulmonary perfusion to the operative lung
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2, the lower the expected Pao2 during OLV. The authors propose that a larger gradient indicates more significant pulmonary perfusion to the operative lung.
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J Cardiothorac Vasc Anesth
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2during two-lung ventilation in lateral decubitus position is predictive of oxygenation disorder during subsequent one-lung ventilation
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2 is thought to indicate the amount of pulmonary perfusion to each lung.
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Cerebral desaturation during single-lung ventilation is negatively correlated with preoperative respiratory functions
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This study confirms cerebral oxygen saturation decreases during OLV. It identifies patients with better preoperative function to be at greater risk of desaturations and argues for routine intraoperative monitoring of cerebral oxygenation during OLV
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Suehiro K, Okutai R. Cerebral desaturation during single-lung ventilation is negatively correlated with preoperative respiratory functions. J Cardiothorac Vasc Anesth 2010; 24:772-775. This study confirms cerebral oxygen saturation decreases during OLV. It identifies patients with better preoperative function to be at greater risk of desaturations and argues for routine intraoperative monitoring of cerebral oxygenation during OLV.
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J Cardiothorac Vasc Anesth
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Yuluǧ E, Tekinbas C, Ulusoy H, et al. The effects of oxidative stress on the liver and ileum in rats caused by one-lung ventilation. J Surg Res 2007; 139:253-260. (Pubitemid 46551160)
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