Clinical Management of One-Lung Ventilation

2019 ◽  
pp. 107-129
Author(s):  
Travis Schisler ◽  
Jens Lohser
Keyword(s):  
Clinical Management ◽  
Lung Ventilation ◽  
One Lung Ventilation

scholarly journals Step-by-step clinical management of one-lung ventilation: Continuing Professional Development

2014 ◽  
Vol 61 (12) ◽  
pp. 1103-1121 ◽  
Author(s):  
Charles L. Brassard ◽  
Jens Lohser ◽  
François Donati ◽  
Jean S. Bussières
Keyword(s):  
Professional Development ◽  
Clinical Management ◽  
Continuing Professional Development ◽  
Lung Ventilation ◽  
One Lung Ventilation

Clinical Management of One-Lung Ventilation

2011 ◽  
pp. 83-101 ◽  
Author(s):  
Jens Lohser ◽  
Seiji Ishikawa
Keyword(s):  
Clinical Management ◽  
Lung Ventilation ◽  
One Lung Ventilation

The Endothelial Glycocalyx and One-Lung Ventilation Induced Lung Injury—New Focus

2016 ◽  
Vol 3 (3) ◽  
pp. 142-146
Author(s):  
Hong Yin ◽  
Ru-Rong Wang ◽  
Rui Xia
Keyword(s):  
Lung Injury ◽  
Lung Ventilation ◽  
Endothelial Glycocalyx ◽  
One Lung Ventilation ◽  
Ventilation Induced Lung Injury

A Retrospective Evaluation of Airway Anatomy in Young Children and Implications for One-Lung Ventilation

2020 ◽  
Author(s):  
Martina G. Downard ◽  
Amy J. Lee ◽  
Christopher J. Heald ◽  
Evelyn Y. Anthony ◽  
Jasmeet Singh ◽  
...  
Keyword(s):  
Young Children ◽  
Lung Ventilation ◽  
Retrospective Evaluation ◽  
One Lung Ventilation ◽  
Airway Anatomy

PLCε1 mediates one-lung ventilation injury by regulating the p38/RhoA/NFκB activation loop

2021 ◽  
Vol 133 ◽  
pp. 135-145
Author(s):  
Xin-Guo ◽  
Yong-Yang ◽  
Jia-Qin Ma ◽  
Xi-Zou ◽  
Li-Sha Li ◽  
...  
Keyword(s):  
Lung Ventilation ◽  
Activation Loop ◽  
One Lung Ventilation

scholarly journals Comparison of Volume-Guaranteed or -Targeted, Pressure-Controlled Ventilation with Volume-Controlled Ventilation during Elective Surgery: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 10 (6) ◽  
pp. 1276
Author(s):  
Volker Schick ◽  
Fabian Dusse ◽  
Ronny Eckardt ◽  
Steffen Kerkhoff ◽  
Simone Commotio ◽  
...  
Keyword(s):  
Systematic Review ◽  
Elective Surgery ◽  
Meta Analysis ◽  
Lung Ventilation ◽  
One Lung Ventilation ◽  
Controlled Ventilation ◽  
Pressure Controlled Ventilation ◽  
Volume Controlled Ventilation ◽  
Volume Controlled ◽  
Pressure Controlled

For perioperative mechanical ventilation under general anesthesia, modern respirators aim at combining the benefits of pressure-controlled ventilation (PCV) and volume-controlled ventilation (VCV) in modes typically named “volume-guaranteed” or “volume-targeted” pressure-controlled ventilation (PCV-VG). This systematic review and meta-analysis tested the hypothesis that PCV-VG modes of ventilation could be beneficial in terms of improved airway pressures (Ppeak, Pplateau, Pmean), dynamic compliance (Cdyn), or arterial blood gases (PaO2, PaCO2) in adults undergoing elective surgery under general anesthesia. Three major medical electronic databases were searched with predefined search strategies and publications were systematically evaluated according to the Cochrane Review Methods. Continuous variables were tested for mean differences using the inverse variance method and 95% confidence intervals (CI) were calculated. Based on the assumption that intervention effects across studies were not identical, a random effects model was chosen. Assessment for heterogeneity was performed with the χ2 test and the I2 statistic. As primary endpoints, Ppeak, Pplateau, Pmean, Cdyn, PaO2, and PaCO2 were evaluated. Of the 725 publications identified, 17 finally met eligibility criteria, with a total of 929 patients recruited. Under supine two-lung ventilation, PCV-VG resulted in significantly reduced Ppeak (15 studies) and Pplateau (9 studies) as well as higher Cdyn (9 studies), compared with VCV [random effects models; Ppeak: CI −3.26 to −1.47; p < 0.001; I2 = 82%; Pplateau: −3.12 to −0.12; p = 0.03; I2 = 90%; Cdyn: CI 3.42 to 8.65; p < 0.001; I2 = 90%]. For one-lung ventilation (8 studies), PCV-VG allowed for significantly lower Ppeak and higher PaO2 compared with VCV. In Trendelenburg position (5 studies), this effect was significant for Ppeak only. This systematic review and meta-analysis demonstrates that volume-targeting, pressure-controlled ventilation modes may provide benefits with respect to the improved airway dynamics in two- and one-lung ventilation, and improved oxygenation in one-lung ventilation in adults undergoing elective surgery.

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