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Lung isolation, one-lung ventilation and hypoxaemia during lung isolation

Atul Purohit1, Suresh Bhargava2, Vandana Mangal3

  • 1Department of Anaesthesiology, SIDSS, Santokba Durlabhji Memorial Hospital, Jaipur, Rajasthan, India.

Indian Journal of Anaesthesia
|November 12, 2015
PubMed

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.

Keywords:
Hypoxialung isolationone-lung ventilationshunt fractiontechniques

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