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Can Oxygenation in Single-Lung Thoracic Surgery Be Affected by Inhibition of Hypoxic Pulmonary Vasoconstriction?

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Abstract

A 60-year-old male is undergoing video-assisted thoracoscopic surgery (VATS) for the resection of a lung mass. We induce general anesthesia , and endotracheal intubation is performed with a double-lumen tube. The appropriate lung is isolated, and correct tube placement is confirmed with fiberoptic guidance. Single-lung ventilation is established with an FiO2 of 1.0, which the patient tolerates without desaturation or hemodynamic disturbance. As the surgeons get to work, the cardiothoracic fellow who is feeling gregarious today turns to us and initiates a discussion on the topic of hypoxic pulmonary vasoconstriction (HPV).

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References

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Correspondence to Rebekah Nam .

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Nam, R. (2017). Can Oxygenation in Single-Lung Thoracic Surgery Be Affected by Inhibition of Hypoxic Pulmonary Vasoconstriction?. In: Scher, C., Clebone, A., Miller, S., Roccaforte, J., Capan, L. (eds) You’re Wrong, I’m Right. Springer, Cham. https://doi.org/10.1007/978-3-319-43169-7_28

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  • DOI: https://doi.org/10.1007/978-3-319-43169-7_28

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43167-3

  • Online ISBN: 978-3-319-43169-7

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