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Clinical review: Independent lung ventilation in critical care

Devanand Anantham1, Raghuram Jagadesan, Philip Eng Cher Tiew

  • 1Respiratory and Critical Care Medicine, Singapore General Hospital, 169608, Singapore. anantham.devanand@singhealth.com.sg

Critical Care (London, England)
|December 17, 2005
PubMed

Independent lung ventilation (ILV) can be classified into anatomical and physiological lung separation. It requires either endobronchial blockade or double-lumen endotracheal tube intubation. Endobronchial blockade or selective double-lumen tube ventilation may necessitate temporary one lung ventilation. Anatomical lung separation isolates a diseased lung from contaminating the non-diseased lung. Physiological lung separation ventilates each lung as an independent unit. There are some clear indications for ILV as a primary intervention and as a rescue ventilator strategy in both anatomical and physiological lung separation. Potential pitfalls are related to establishing and maintaining lung isolation. Nevertheless, ILV can be used in the intensive care setting safely with a good understanding of its limitations and potential complications.

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