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Clinical Management of One-Lung Ventilation

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Book cover Principles and Practice of Anesthesia for Thoracic Surgery

Abstract

Ventilation needs to be individualized for the underlying lung pathology. Ventilation is a modifiable risk factor for acute lung injury. Protective lung ventilation is a combination of small tidal volumes, low peak and plateau pressures, routine PEEP and permissive hypercapnea. Hypoxia during one-lung ventilation is rare and often secondary to alveolar de-recruitment in the face of hypoventilation. Management of hypoxia requires a structured treatment algorithm.

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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

Authors
  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). Clinical Management of 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_6

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  • DOI: https://doi.org/10.1007/978-1-4419-0184-2_6

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