One-lung ventilation for thoracic surgery: Current perspectives

Filippo Bernasconi, Federico Piccioni

Research output: Contribution to journalReview article

Abstract

One-lung ventilation (OLV) is an anesthesiological technique that is increasingly being used beyond thoracic surgery. This requires specific skills and knowledge about airway management, maintenance of gas exchange and prevention of acute lung injury. Sometimes maintaining adequate gas exchange and minimizing acute lung injury may be opposing processes. Parameters validated for OLV titration still have not been found, but a multimodal approach based on low tidal volume, end-expiratory pressure application and alveolar recruitment maneuvers is considered the best way to ensure protective ventilation and reduce lung damage. The purpose of this review is to analyze all these factors using the latest scientific evidence and the opinions of the most influential authors.

Original languageEnglish
Pages (from-to)495-503
Number of pages9
JournalTumori
Volume103
Issue number6
DOIs
Publication statusPublished - Jan 1 2017

Keywords

  • Acute lung injury
  • Airway management
  • One-lung ventilation
  • Positive-pressure ventilation
  • Thoracic surgery
  • Ventilator-induced lung injury

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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