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RESEARCH PRODUCT
New evidence in one-lung ventilation
H. MeleiroP. Charco MoraI. Correiasubject
Pulmonary Atelectasismedicine.medical_specialtySwinemedicine.medical_treatmentMEDLINElaw.inventionHypercapniaPositive-Pressure Respiration03 medical and health sciences0302 clinical medicineMeta-Analysis as TopicRandomized controlled trial030202 anesthesiologylawTidal VolumeAnimalsHumansMedicine030212 general & internal medicineExpirationIntensive care medicineRandomized Controlled Trials as TopicMechanical ventilationbusiness.industryGeneral Medicinerespiratory systemOne lung ventilationOne-Lung Ventilationrespiratory tract diseasesSystematic reviewCardiothoracic surgeryModels AnimalVentilation (architecture)Anesthesia Inhalationbusinessdescription
Mechanical ventilation in thoracic surgery has undergone significant changes in recent years due to the implementation of the protective ventilation. This review will analyze recent ventilatory strategies in one-lung ventilation. A MEDLINE research was performed using Mesh term "One-Lung Ventilation" including randomized clinical trials, metanalysis, reviews and systematic reviews published in the last 6 years. Search was performed on 21st March 2017. A total of 75 articles were initially found. After title and abstract review 14 articles were included. Protective ventilation is not simply synonymous of low tidal volume ventilation, but it also includes routine use of PEEP and alveolar recruitment maneuver. New techniques are still in discussion namely PEEP adjustment, ratio inspiration:expiration, ideal type of anesthesia during one-lung ventilation and hypercapnic ventilation.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2017-04-05 |