Related Experiment Video
Updated: Jun 2, 2026

Ex Vivo Porcine Experimental Model for Studying and Teaching Lung Mechanics
Published on: April 19, 2024
[Parameters of controlled mechanical lung ventilation and external respiratory function during thoracoscopic
Insights
Pediatric videotoracoscopic surgery is safe with one-lung ventilation. Key parameters like tidal volume and FiO2 require adjustments for optimal respiratory function and CO2 elimination in children.
Area of Science:
- Pediatric Anesthesiology
- Thoracic Surgery
- Respiratory Physiology
Context:
- Videotoracoscopic surgeries in children present unique challenges for mechanical ventilation.
- Optimizing respiratory parameters is crucial for patient safety and surgical outcomes.
- Limited data exists on mechanical ventilation and respiratory function during pediatric thoracic procedures.
Purpose:
- To estimate mechanical ventilation and respiratory function parameters during pediatric videotoracoscopic surgeries.
- To assess the safety and efficacy of one-lung ventilation in pediatric patients.
- To identify optimal ventilation strategies for different age groups undergoing thoracic procedures.
Summary:
- Mechanical ventilation and respiratory function indicators remained stable during pediatric videotoracoscopic surgeries.
- Changes in peak inspiratory pressure (PIP) and mean airway pressure (MAP) were consistent across age groups.
- One-lung ventilation is safe in children when FiO2 is increased, tidal volume reduced (5-5.3 ml/kg), and appropriately sized endotracheal tubes are used.
Impact:
- Provides evidence for safe one-lung ventilation in pediatric thoracic surgery.
- Informs anesthetic management and ventilator strategies for improved patient outcomes.
- Contributes to the understanding of respiratory mechanics in pediatric surgical patients.
Abstract:
The purpose of the study is to estimate the parameters of mechanical ventilation and respiratory function during videotorachoscopic surgeries in children. 73 anesthesias were conducted in children aged 5 to 16 years of age. During the study, a detailed monitoring of respiratory function and parameters of mechanical ventilation was carried out. Indicators reflecting the lung function remained stable in all phases of the study. Parameters of mechanical ventilation during the study varied. Changes in PIP and MAP were similar in all age groups. The maximum changes of compliance were in the third group. One-lung ventilation is safe under certain conditions: increasing FiO2 from 0.5 to 1, the reduction of tidal volume up to 5-5.3 ml/kg, the use of a size or a half size smaller cuffed endotracheal tubes for intubation of the right and left main bronchus compared to those for tracheal intubation. For the intubation of the right main bronchus the endotracheal tube with the Murphy eye should be used, for the means ventilation of the upper lobe of the right lung. If the minute volume of breathing is adequate and there is no preoperative hypercapnia, the elimination of CO2 for one-lung ventilation is not disrupted and the tension of CO2 in arterial blood increases.
Related Concept Videos
Mechanical Ventilation I: Indication and Settings
Mechanical Ventilation II: Invasive Ventilation
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Mechanical Ventilation III: Noninvasive Ventilation
Noninvasive Positive-Pressure Ventilation (NIPPV)
Factors Affecting Pulmonary Ventilation
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...