title: [Use of new respiratory technologies in solving problems of artificial one-lung ventilation in thoracic surgery in high-risk patients].
abstract: 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.
authors.forename: M A
authors.initials: MA
authors.lastname: Vyzhigina
authors.forename: S G
authors.initials: SG
authors.lastname: Zhukova
authors.forename: V A
authors.initials: VA
authors.lastname: Titov
authors.forename: A V
authors.initials: AV
authors.lastname: Godin
authors.forename: A E
authors.initials: AE
authors.lastname: Iumatov
authors.forename: I I
authors.initials: II
authors.lastname: Dement'eva
mesh_terms: 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
chemical_list: D002245:Carbon Dioxide; D010100:Oxygen
vernacular_title: Primenenie novykh respiratornykh tekhnologiĭ dlia resheniia problemy iskusstvennoĭ odnolegochnoĭ ventiliatsii u patsientov vysokogo riska v torakal'noĭ khirurgii.