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ISSN 1726-6718 (Electronic)
Revista Cubana de Anestesiología y Reanimación

2013, Number 1

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Revista Cubana de Anestesiología y Reanimación 2013; 12 (1)

Strategies in the selective lung ventilation during lung cancer resection

Redondo GZ, Pascual VH, Segura LN, Plasencia PH

Language: Spanish
References: 36
Page: 80-90
PDF size: 54.43 Kb.


ABSTRACT

Background: The advances in anaesthetic behaviour, technical techniques and preoperative care have made it possible to expand the population that can now be considered as "operable" for lung resection. The physiology of selective lung ventilation is closely connected to its effects on the pulmonary ventilation-perfusion relation. Several factors affect this relation because of its effects in the lung satisfaction. The lung isolation uncouples the ventilation-perfusion binomial in the operated lung and can produce a significant hypoxemia if it is not treated properly.
Objectives: To identify the evidence-based administration of the ventilation during the selective lung ventilation focused to avoid hypoxemia and postoperative lung injury.
Methods: A detailed review of the available literature about evidence-based ventilation strategies during the selective lung ventilation was made.
Conclusions: To follow a better treatment of the disturbances in relation to the ventilation-perfusion that occur in the selective lung ventilation it is necessary to become familiar with the basic principles that govern pulmonary ventilation-perfusion and apply methods to improve oxygenation during the selective lung ventilation and protective ventilation strategies to diminish the incidence or severity of lung injury after thoracotomy.


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