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Chapter 23 - One-Lung Ventilation

from Section 1 - Respiratory, Airway, and Ventilator Management

Published online by Cambridge University Press:  03 August 2023

By
Elliott Chiartas
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 60-year-old, 120 kg male is scheduled for a right middle lobectomy for carcinoma of the lung. He has a 50-pack-per-year smoking history. He suffers from chronic obstructive pulmonary disease (COPD) and asthma. His pulse is 70 bpm and blood pressure is 145/90 mm Hg. What are your concerns? How will you secure this patient’s airway? What are your intra-operative concerns? If the intubation was difficult, how would you change the double-lumen tube (DLT) to a single-lumen tube?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 85 - 88
Publisher: Cambridge University Press
Print publication year: 2023

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References

Campos, JH, Feilder, A. Hypoxia during one-lung ventilation: a review and update. J Cardiothorac Vasc Anesth 2018;32(5):2330–8Google Scholar
Colquhoun, DA, Leis, AM, Shanks, AM, et al. A lower tidal volume regimen during one-lung ventilation for lung resection surgery is not associated with reduced postoperative pulmonary complications. Anesthesiology 2021;134(4):562–76CrossRefGoogle Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 1663–73.Google Scholar
Jaffe, RA, Samuels, SI, eds. Anesthesiologist’s Manual of Surgical Procedures, 3rd ed.Philadelphia: Lippincott Williams & Wilkins, 2004, pp. 206–17.Google Scholar
Lohser, J. Evidence-based management of one-lung ventilation. Anesthesiol Clin 2008;26(2):241–72.CrossRefGoogle ScholarPubMed

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