[Prevention of early respiratory complications in esophageal surgery by ventilation of the independent lungs].
Independent lung controlled ventilation by a double lumen tube has a beneficial effect in oesophagus surgery. Use of a tidal volume and an end-expiratory pressure different for each lung produces a drastic reduction of chest-X-ray abnormalities. In an homogen group of ten patients studied before and treated with conventional respiratory support, chest-X-ray abnormalities were seen in 80% cases. In this group of 34 patients treated with independent lung ventilation the rate of abnormalities is only of 20%. Independent lung ventilation decreases early pulmonary complications in dependent regions of the lungs, and late pulmonary complications in non dependent regions. This form of mechanical ventilation is performed with a "prototype" ventilator of small size, which permits synchronized or independent ventilation of the lungs.
D001980:Bronchi; D004935:Esophageal Diseases / Q000601:surgery*; D006801:Humans; D007440:Intubation / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control; D012121:Respiration, Artificial / Q000379:methods*; D012140:Respiratory Tract Diseases / Q000517:prevention & control*
Prévention des complications respiratoires précoces en chirurgie oesophagienne par la ventilation à poumons séparés.