• Indian J Anaesth · Sep 2015

    Review

    Lung isolation, one-lung ventilation and hypoxaemia during lung isolation.

    • Atul Purohit, Suresh Bhargava, Vandana Mangal, and Vinod Kumar Parashar.
    • Department of Anaesthesiology, SIDSS, Santokba Durlabhji Memorial Hospital, Jaipur, Rajasthan, India.
    • Indian J Anaesth. 2015 Sep 1; 59 (9): 606-17.

    AbstractLung isolation is being used more frequently in both adult and paediatric age groups due to increasing incidence of thoracoscopy and video-assisted thoracoscopic surgery in these patients. Various indications for lung isolation and one-lung ventilation include surgical and non-surgical reasons. Isolation can be achieved by double-lumen endotracheal tubes or bronchial blocker. Different issues arise in prone and semi-prone position. The management of hypoxia with lung isolation is a stepwise drill of adding inhaled oxygen, adding positive end-expiratory pressure to ventilated lung and continuous positive airway pressure to non-ventilated side.

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