Lung Isolation, One-Lung Ventilation And Hypoxaemia During Lung Isolation
INDIAN JOURNAL OF ANAESTHESIA(2015)
摘要
Lung isolation is being used more frequently in both adult and paediatric age groups due to increasing incidence of thoracoscopy and video-assisted thoracoscopic surgery in these patients. Various indications for lung isolation and one-lung ventilation include surgical and non-surgical reasons. Isolation can be achieved by double-lumen endotracheal tubes or bronchial blocker. Different issues arise in prone and semi-prone position. The management of hypoxia with lung isolation is a stepwise drill of adding inhaled oxygen, adding positive end-expiratory pressure to ventilated lung and continuous positive airway pressure to non-ventilated side.
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关键词
Hypoxia, lung isolation, one-lung ventilation, shunt fraction, techniques
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