title: Apnoeic oxygenation on one-lung ventilation in functionally impaired patients during sleeve lobectomy.
abstract: We describe a useful salvage method for hypoxaemia during one-lung ventilation (OLV) in functionally impaired patients during a sleeve bronchial reconstruction. When dependent-lung OLV strategies for hypoxaemia fail during bronchial anastomosis (increasing the oxygen administration to fraction of inspired oxygen (FiO(2)) 1 and positive end-expiratory pressure (PEEP), recruitment strategy and perfusion modulation), a very simple and efficient method for oxygen administration to the non-dependent lung can be easily employed. Oxygen flow of 5-10 l min(-1) administered by a paediatric intra-field catheter placed in the distal bronchi during bronchial anastomosis of the spared lobe(s), following the principles of apnoeic (hyper)oxygenated ventilation, successfully improves oxygenation without significant impairment of the operation field.
authors.affiliation: General Thoracic Surgery Department, Instituto del Tórax, Hospital Clínic, Universidad de Barcelona, Barcelona, Spain.
authors.forename: David
authors.initials: D
authors.lastname: Sanchez-Lorente
authors.forename: Abel
authors.initials: A
authors.lastname: Gómez-Caro
authors.forename: Maria Jose
authors.initials: MJ
authors.lastname: Jimenez
authors.forename: Laureano
authors.initials: L
authors.lastname: Molins
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D001049:Apnea / Q000628:therapy; D001980:Bronchi / Q000601:surgery; D002289:Carcinoma, Non-Small-Cell Lung / Q000601:surgery*; D005260:Female; D006801:Humans; D000860:Hypoxia / Q000517:prevention & control*; D007431:Intraoperative Complications / Q000517:prevention & control*; D008168:Lung / Q000601:surgery; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000008:administration & dosage*; D012121:Respiration, Artificial / Q000379:methods*; D016879:Salvage Therapy
chemical_list: D010100:Oxygen