One-lung anesthesia update.
One-lung ventilation is used during a variety of cardiac, thoracic, and major vascular procedures. Endobronchial tubes, bronchial blockers, and occasionally, single-lumen tubes are used to isolate the lungs. Patients with difficult airways and pediatric patients provide special challenges for lung isolation. Finally, intraoperative hypoxia and hypercarbia in patients with intrinsic lung disease frequently complicate one-lung anesthesia. The concepts and controversies in lung isolation techniques are discussed.
Mirzabeigi
Edwin
E
Martin Luther King, Jr/Charles R. Drew University Medical Center, Department of Anesthesiology, Los Angeles, CA 90069, USA.
Johnson
Calvin
C
Ternian
Alen
A
D000769:Anesthesia, Inhalation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods / Q000639:trends*; D001145:Arrhythmias, Cardiac / Q000139:chemically induced / Q000628:therapy; D006801:Humans; D007430:Intraoperative Care; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D011183:Postoperative Complications / Q000628:therapy; D011300:Preoperative Care; D016896:Treatment Outcome