Hypoxaemia associated with one-lung anaesthesia: New discoveries in ventilation and perfusion

British Journal of Anaesthesia

Volumn 106, Issue 6, 2011, Pages 761-763

  Ng, A ^a   Swanevelder, J ^b  

^a UNIVERSITY OF BIRMINGHAM   (United Kingdom)

^b GLENFIELD HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

DESFLURANE; INTERCELLULAR ADHESION MOLECULE 1; INTERLEUKIN 1BETA; INTERLEUKIN 6; INTERLEUKIN 8; MONOCYTE CHEMOTACTIC PROTEIN 1; PROPOFOL; SEVOFLURANE; SOLUBLE INTERCELLULAR ADHESION MOLECULE 1; UNCLASSIFIED DRUG;

ANESTHESIA; ENDOBRONCHIAL ANESTHESIA; FIBEROPTIC BRONCHOSCOPY; GRANULOCYTE; HUMAN; HYPOXEMIA; INCIDENCE; LUNG LAVAGE; LUNG PERFUSION; LUNG VENTILATION; LUNG VOLUME; ONE LUNG ANETHESIA; PNEUMONIA; PRIORITY JOURNAL; REVIEW; SAFETY;

EID: 79957446262     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aer113     Document Type: Editorial

References (26)

1. Karzai W, Schwarzkopf K. Hypoxemia during one-lung ventilation. Anesthesiology 2009; 110: 1402-11
2. Kazan R, Bracco D, Hemmerling TM. Reduced cerebral oxygen saturation measured by absolute cerebral oximetry during thoracic surgery correlated with postoperative complications. Br J Anaesth 2009; 6: 811-16
3. Ng A, Swanevelder J. Hypoxaemia during one-lung anaesthesia. Contin Educ Anaesth Crit Care Pain 2010; 10: 117-22
4. Pennefather SH, Russell GN. Placement of double lumen tubes - time to shed light on an old problem. Br J Anaesth 2000; 84: 308-10 (Pubitemid 30114123)
5. Campos JH, Hallam EA, Van Natta T, Kernstine KH. Devices for lung isolation used by anaesthesiologists with limited thoracic experience. Anesthesiology 2006; 104: 261-6
6. Ehrenfeld JM, Walsh JL, Sandberg WS. Right and left sided Mallinckrodt double lumen tubes have identical clinical performance. Anesth Analg 2008; 106: 1847-52
7. Michelet P, Roch A, Brousse D, et al. Effects of PEEP on oxygenation and respiratory mechanics during one-lung ventilation. Br J Anaesth 2005; 95: 267-73 (Pubitemid 41487158)
8. Kilpatrick B, Slinger P. Lung protective strategies in anaesthesia. Br J Anaesth 2010; 105: i108-16
9. Montes FR, Pardo DF, Charris H, Tellez LJ, Garzon JC, Osorio C. Comparison of two protective lung ventilatory regimes on oxygenation during one-lung ventilation: a randomized controlled trial. J Cardiothor Surg 2010; 99: 1749
10. Schilling T, Kozian A, Huth C, et al. The pulmonary immune effects of mechanical ventilation in patients undergoing thoracic surgery. Anesth Analg 2005; 101: 957-65 (Pubitemid 41383053)
11. Misthos P, Katsaragakis S, Theodorou D, Milingos N, Skottis I. The degree of oxidative stress is associated with major adverse events after lung resection: a prospective study. Eur J Cardiothorac Surg 2006; 29: 591-5
12. Schilling T, Kozian A, Kretzschmar M, et al. Effect of propofol and desflurane anaesthesia on the alveolar inflammatory response to one-lung ventilation. Br J Anaesth 2007; 99: 368-75 (Pubitemid 47316390)
13. De Conno E, Steurer MP, Wittlinger M, et al. Anesthetic-induced improvement of the inflammatory response to one-lung ventilation. Anesthesiology 2009; 110: 1316-26
14. Szegedi LL, D'hollander AA, Vermassen FE, Deryck F, Wouters PF. Gravity is an important determinant of oxygenation during one-lung ventilation. Acta Anaesthesiol Scand 2010; 54: 744-50
15. Kozian A, Schilling T, Schutze H, Heres F, Hachenbery T, Hedenstierna G. Lung computed tomography density distribution in a porcine model of one-lung ventilation. Br J Anaesth 2009; 102: 551-60
16. Kozian A, Schilling T, Freden F, et al. One-lung ventilation induces hyperperfusion and alveolar damage in the ventilated lung: an experimental study. Br J Anaesth 2008; 100: 549-59 (Pubitemid 351773614)
17. Pruszkowski O, Dalibon N, Moutafis M, et al. Effects of propofol vs sevoflurane on arterial oxygenation during one-lung ventilation. Br J Anaesth 2007; 98: 539-44 (Pubitemid 47072657)
18. Beck DH, Doepfmer UR, Sinemus C, Block A, Schenk MR, Kox WJ. Effects of sevoflurane and propofol on pulmonary shunt fraction during one-lung ventilation for thoracic surgery. Br J Anaesth 2001; 86: 38-43 (Pubitemid 32015589)
19. Ng A, Swanevelder J. Pain relief after thoracotomy: is epidural analgesia the optimal technique?. Br J Anaesth 2007; 98: 159-62 (Pubitemid 47071994)
20. Powell ES, Cook D, Pearce AC, et al. A prospective, multicentre, observational cohort study of analgesia and outcome after pneumonectomy. Br J Anaesth 2011; 106: 364-70
21. Jung SM, Cho CK, Kim YJ, et al. The effect of thoracic epidural anesthesia on pulmonary shunt fraction and arterial oxygenation during one-lung ventilation. J Cardiothorac Vasc Anesth 2010; 24: 456-62
22. Yajun X, Tan Z, Wang S, Shao H, Zhu X. Effect of thoracic epidural anesthesia with different concentrations of ropivacaine on arterial oxygenation during one-lung ventilation. Anesthesiology 2010; 112: 1146-54
23. Ishikawa S, Shirasawa M, Fujisawa M, Kawano T, Makita K. Compressing the non-dependent lung during one-lung ventilation improves arterial oxygenation, but impairs systemic oxygen delivery by decreasing cardiac output. J Anaesth 2010; 24: 17-23
24. Levin AI, Coetzee JF. Arterial oxygenation during one-lung anaesthesia. Anesth Analg 2005; 100: 12-4
25. Ishikawa S, Makino F, Kobinata S, Ito H, Kawano T, Makita K. Co-administration of ephedrine prevents reductions in cardiac output and systemic oxygen delivery secondary to lung compression maneuvers during one-lung ventilation, without reducing arterial oxygenation. J Anesth 2011; 25: 163-9
26. Szegedi LL, Van der Linden P, Ducart A, et al. The effects of acute isovolemic hemodilution on oxygenation during one-lung ventilation. Anesth Analg 2005; 100: 15-20 (Pubitemid 40013596)