eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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4/2013
vol. 10
 
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abstract:

Anaesthesiology and intensive care
Hemodynamic consequences of different ventilation methods used in lung surgery

Hanna Misiołek
,
Dariusz Budziński
,
Jacek Karpe
,
Piotr Knapik
,
Damian Czyżewski

Kardiochirurgia i Torakochirurgia Polska 2013; 10 (4): 397–402
Online publish date: 2013/12/27
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Anesthesia techniques used in thoracic surgery are completely different from those used in general surgery, because thoracic surgery requires both effective ventilation and immobilization of the operating area. One lung ventilation (OLV) remains the standard ventilation method used during thoracic surgery procedures. The most frequent position of the patient during thoracotomy is the lateral decubitus position opposite to the operated side. The abovementioned conditions lead to several respiratory, hemodynamic, and oxygenation disturbances. However, high-frequency jet ventilation (HFJV) may be used as an alternative way of ventilation during lung resection. Both ventilation methods provide full or partial immobilization of the operative field, but they result in different hemodynamic effects. Comparing the cardiovascular parameters during OLV and HFJV we can definitely say that HFJV provides better oxygenation and ventilation in comparison to OLV, while maintaining hemodynamic stability.
keywords:

one lung ventilation, high frequency jet ventilation, cardiovascular system

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