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ISSN 1665-2576 (Print)

2001, Number 2

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Rev Mex Cir Endoscop 2001; 2 (2)

Selective mechanical ventilation (for one lung) in video assisted thoracoscopic surgery and the anaesthetic management

Huerta MC, Villazón DO, Acevedo CA, González RM, Moscoso JMB

Language: Spanish
References: 18
Page: 87-96
PDF size: 116.33 Kb.


ABSTRACT

The development of video and endoscopic instrumentation systems have permitted the diagnostic and therapeutic thoracoscopy for a great variety of thoracic procedures. Selective mechanical ventilation with double lumen tubes allows us to collapse the lung on the side where the surgery is being performed, making it easier for the surgeon to preserve the anatomic structures by making a better surgical dissection and allowing to get all the benefits of the minimal invasive thorax surgery. Some of these benefits are: a short hospitality stay, a shorter postoperatory pain control with narcotics and a better postoperatory evolution, 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 diagnosis 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 of auscultation in positioning double-lumen endobronchial tubes. Can J Anaesth 1992; 39: 687-90.

  8. Cohen JA, Denisco RA, Richards TS, Staples DE, Rkkoberts AJ. Hazarduos placement of a Robertshaw 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 following 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.




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