Single-lung ventilation in pediatric anesthesia.
Single-lung ventilation is requested for an increasing spectrum of surgical procedures in infants and children. A clear understanding of the physiology of single-lung ventilation, the techniques of lung separation, and the technical skill necessary to apply these techniques are essential for an anesthesiologist practicing thoracic anesthesia. This article focuses on various devices available for single-lung ventilation in the pediatric age group, the relevant respiratory physiology, and the strategies that optimize oxygenation during one-lung anesthesia.
Choudhry
Dinesh K
DK
Department of Anesthesiology, Alfred I. duPont Hospital for Children, Nemours Children's Clinic, Wilmington, DE 19803, USA. dchoudhr@nemours.org
D000758:Anesthesia; D002648:Child; D006801:Humans; D000860:Hypoxia / Q000517:prevention & control; D007223:Infant; D007231:Infant, Newborn; D008168:Lung / Q000502:physiology; D059408:Pain Management; D011187:Posture / Q000502:physiology; D012121:Respiration, Artificial / Q000009:adverse effects / Q000379:methods*; D019616:Thoracic Surgical Procedures; D014139:Tracheostomy; D012122:Ventilators, Mechanical