[Use of new respiratory technologies in solving problems of artificial one-lung ventilation in thoracic surgery in high-risk patients].
The authors proposed a separate independent (or differentiated) artificial lung ventilation as an appropriate alternative variant of artificial lung ventilation (ALV). This approach implies bulky ALV of the operated lung and high-frequency ventilation of the contralateral lung. In patients with associated respiratory diseases and stage II-III respiratory insufficiency, ALV initiates high pulmonary hypertension, intrapulmonary bypass of 50% cardiac output. The differentiated ALV on principal operation stage optimizes homeostatic parameters vs both one-lung and conventional ALV. For patients with stage II-III respiratory insufficiency and cardiovascular disease ALV is contraindicated. Differentiated ALV is the only alternative allowing surgical treatment of lung diseases in high risk patients.
Vyzhigina
M A
MA
Zhukova
S G
SG
Titov
V A
VA
Godin
A V
AV
Iumatov
A E
AE
Dement'eva
I I
II
D000328:Adult; D000368:Aged; D000758:Anesthesia / Q000379:methods; D002245:Carbon Dioxide / Q000097:blood; D002302:Cardiac Output; D002318:Cardiovascular Diseases / Q000150:complications / Q000175:diagnosis; D004562:Electrocardiography; D005260:Female; D006439:Hemodynamics; D006612:High-Frequency Ventilation / Q000009:adverse effects / Q000379:methods; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D012121:Respiration, Artificial / Q000009:adverse effects / Q000379:methods*; D012129:Respiratory Function Tests; D012131:Respiratory Insufficiency / Q000150:complications / Q000175:diagnosis; D012307:Risk Factors; D019616:Thoracic Surgical Procedures
D002245:Carbon Dioxide; D010100:Oxygen
Primenenie novykh respiratornykh tekhnologiĭ dlia resheniia problemy iskusstvennoĭ odnolegochnoĭ ventiliatsii u patsientov vysokogo riska v torakal'noĭ khirurgii.