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Principles and Practice of Anesthesia for Thoracic Surgery pp 71–82Cite as

Physiology of the Lateral Decubitus Position, Open Chest and One-Lung Ventilation

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Abstract

Ventilation and perfusion matching is optimized for gas exchange. Induction of anesthesia, one-lung ventilation (OLV) and opening of the chest progressively uncouple ventilation–perfusion (V/Q) matching. Hypoxic pulmonary vasoconstriction (HPV) improves V/Q matching during OLV, but can be impaired by anesthetic interventions.

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Authors and Affiliations

  1. Department of Anesthesiology, Pharmacology, and Therapeutics, University of British Columbia, Vancouver General Hospital, Vancouver, BC, Canada

    Jens Lohser MD, MSc, FRCPC

  2. Department of Anesthesiology, Tokyo Medical and Dental University, Graduate School of Medical and Dental Sciences, Tokyo, Japan

    Seiji Ishikawa MD, PhD

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  1. Jens Lohser MD, MSc, FRCPC
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  2. Seiji Ishikawa MD, PhD
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Editors and Affiliations

  1. University of Toronto, Staff Anesthesiologist, Professor of Anesthesia, Toronto, M5G 2C4, Ontario, Canada

    Peter Slinger, MD, FRCPC

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Lohser, J., Ishikawa, S. (2011). Physiology of the Lateral Decubitus Position, Open Chest and One-Lung Ventilation. In: Slinger, MD, FRCPC, P. (eds) Principles and Practice of Anesthesia for Thoracic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0184-2_5

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