medigraphic.com
SPANISH

Revista Mexicana de Anestesiología

ISSN 3061-8142 (Electronic)
ISSN 0484-7903 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2002, Number 2

<< Back Next >>

Rev Mex Anest 2002; 25 (2)

Ventilación mecánica selectiva (a un pulmón) y manejo anestésico en cirugía toracoscópica videoasistida.

Huerta MC, Lorenzo SJM, Zafra JI, Gil WW, Moscoso JMB
Full text How to cite this article

Language: Spanish
References: 18
Page: 102-111
PDF size: 428.12 Kb.


Key words:

One lung ventilation (VUP), thoracoscopy video assisted surgery (CTVA), double lumen tubes.

ABSTRACT

The development of video and endoscopic instrumentation systems have permitted diagnostic and therapeutic thoracoscopy for a great variety of procedures. Selective mechanical ventilation with double lumen tubes allow us to collapse the lung of the side where surgery is performed, making it easier for the surgeon to preserve the anatomic structures by making a better surgical dissection and obtaining all the benefits of minimally invasive thoracic surgery. Some of these benefits are: shorter length of stay, lower postoperatory pain, lees use of narcotics and a better postoperative outcome, diminishing considerably the surgical procedure costs. We will review the characteristics of selective mechanical ventilation (for one lung) in video assisted thoracoscopic surgery and the anaesthetic management.


REFERENCES

  1. Smith GB, Hirsch NP, Ehrenwerth J. Placement of double lumen endobronchial tubes. British Journal of Anaesthesia. 1986; 58: 1317-1320.

  2. Hurford WE, Alfille PH, Balun MT, Behringer E, Cullen DJ, Haspel K, Wilson RS, Zapol WM. Placement and complications of double lumen endotracheal tubes. Anesthesia and Analgesia. 1992; 74:S141.

  3. Saito S. Dohi, Naito H. Alteration of double lumen endobronchial tube position by flexion and extension of the neck. Anesthesiology 1985; 62: 696-697.

  4. Brodsky JB, Shulman MS, Mark JBD. Malposition of left-sided double lumen endobronchial tubes. Anesthesiology 1985; 62: 667-669.

  5. Simon BA, Hurford WE, Alfille PH, Haspel K, Behringer EC. An aid in the disgnosis of malpositioned double lumen tubes. Anesthesiology 1992; 76: 862-863.

  6. Larson A, Malmkvist G. Werner O. Variations in lung volume and compliance during pulmonary surgery. British Journal of Anesthesia 1987; 59: 585-591.

  7. Alliaume B, Coddens J, Deloof T. Reability ofauscultation in positioning double-lumen endobronchial tubes. Can J. Anaesth. 1992; 39: 687-90.

  8. Cohen JA, Denisco RA, Richards TS, Staples DE, Roberts AJ. Hazarduos placement of a Roberts haw type endobronchial tubes. Anesth Analg 1986; 65:100-1.

  9. Benumof JL. Management of the difficults adult airway. Anesthesiology 1991; 75: 1087-1110.

  10. Lfery DD, Benumof JL, Trousdale FR. Improving oxigenation during one-lung ventilation: Effects of PEEP and blood flow restriction to the nonventilated lung. Anesthesiology 1981; 55: 381-5.

  11. Caplan LM, Turndorf H, Chandrakant P, Ramanathan S. Acinapura A, Shalon J. Optimitation of arterial oxigenation during one-lung anesthesia. Anesth Analg 1980; 59: 847-51.

  12. Slinger P, Triolet W, Wilson J. Improving arterial oxigenation during one lung ventilation. Anesthesiology 1988; 68: 291-5.

  13. Benumof JL, Patridg. Margin of safety in positioning modem endobronchial tubes. Anesthesiology 1987; 67: 729-738.

  14. Burton NA, Fall SM. Rupture of the left mainsteam bronchus with polyvinyl chloride double lumen tubes. Chest 1983, 83: 928-29.

  15. Warner DL, Gammaage GW. Tracheal rupture fallowing the insertion of a disposable double lumen endotracheal tube. Anesthesiology 1985; 63: 698-700.

  16. Cobley M, Kidd JI. Endobronchial cuff pressures. British Journal of Anaesthesia 1993; 70: 576-578.

  17. Brodsky JB, Bronchial cuff pressures of double lumen tubes. Anesth Analg 1989; 69: 608-610.

  18. Stow PJ, lLGrant I. Asynchronus independent lung ventilation. Anaesthesia 1985; 40: 163-66.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Anest. 2002;25