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Updated: Feb 22, 2026

Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit
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New evidence in one-lung ventilation.

H Meleiro1, I Correia1, P Charco Mora2

  • 1Serviço de Anestesiologia, Centro Hospitalar de São João, Porto, Portugal.

Revista Espanola De Anestesiologia Y Reanimacion
|October 3, 2017
PubMed
Summary
This summary is machine-generated.

Protective ventilation strategies, including PEEP and recruitment maneuvers, are crucial for mechanical ventilation in thoracic surgery. This review examines recent advancements in one-lung ventilation techniques.

Keywords:
Anestesia torácicaOne-lung ventilationProtective lung ventilationThoracic anesthesiaVentilación pulmonar protectoraVentilación unipulmonar

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Area of Science:

  • Anesthesiology
  • Thoracic Surgery
  • Respiratory Physiology

Background:

  • Mechanical ventilation in thoracic surgery has evolved with the adoption of protective ventilation strategies.
  • One-lung ventilation (OLV) presents unique challenges requiring specific ventilatory approaches.

Purpose of the Study:

  • To review and analyze recent ventilatory strategies employed during one-lung ventilation in thoracic surgery.
  • To synthesize current evidence on protective ventilation in the context of OLV.

Main Methods:

  • A comprehensive MEDLINE search was conducted using the MeSH term "One-Lung Ventilation".
  • Included were randomized clinical trials, meta-analyses, reviews, and systematic reviews published within the last six years (up to March 21, 2017).
  • A total of 14 articles were selected after initial screening of 75 identified studies.

Main Results:

  • Protective ventilation encompasses more than low tidal volumes; it includes PEEP (Positive End-Expiratory Pressure) and alveolar recruitment maneuvers.
  • Current discussions involve optimizing PEEP levels, inspiratory-to-expiratory ratios, anesthetic choices, and the role of hypercapnic ventilation during OLV.

Conclusions:

  • Protective ventilation is a cornerstone of modern thoracic surgery, enhancing patient outcomes during one-lung ventilation.
  • Further research and discussion are needed to refine emerging techniques for one-lung ventilation, including PEEP titration and ventilation strategies.