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Purohit A, Bhargava S, Mangal V, et al. Lung isolation, one-lung ventilation and hypoxaemia during lung isolation. Indian J Anaesth. 2015;59(9):606-17doi: 10.4103/0019-5049.165855.
Purohit, A., Bhargava, S., Mangal, V., & Parashar, V. K. (2015). Lung isolation, one-lung ventilation and hypoxaemia during lung isolation. Indian journal of anaesthesia, 59(9), 606-17. https://doi.org/10.4103/0019-5049.165855
Purohit, Atul, et al. "Lung isolation, one-lung ventilation and hypoxaemia during lung isolation." Indian journal of anaesthesia vol. 59,9 (2015): 606-17. doi: https://doi.org/10.4103/0019-5049.165855
Purohit A, Bhargava S, Mangal V, Parashar VK. Lung isolation, one-lung ventilation and hypoxaemia during lung isolation. Indian J Anaesth. 2015 Sep;59(9):606-17. doi: 10.4103/0019-5049.165855. PMID: 26556920; PMCID: PMC4613408.
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Indian J Anaesth. 2015 Sep;59(9):606-17. doi: 10.4103/0019-5049.165855.

Lung isolation, one-lung ventilation and hypoxaemia during lung isolation.

Indian journal of anaesthesia

Atul Purohit, Suresh Bhargava, Vandana Mangal, Vinod Kumar Parashar

Affiliations

  1. Department of Anaesthesiology, SIDSS, Santokba Durlabhji Memorial Hospital, Jaipur, Rajasthan, India.
  2. Department of Anesthesia and Critical Care, Mahatma Gandhi Medical College, Jaipur, Rajasthan, India.
  3. Department of Anesthesia, SMS Medical College, Jaipur, Rajasthan, India.

PMID: 26556920 PMCID: PMC4613408 DOI: 10.4103/0019-5049.165855

Abstract

Lung isolation is being used more frequently in both adult and paediatric age groups due to increasing incidence of thoracoscopy and video-assisted thoracoscopic surgery in these patients. Various indications for lung isolation and one-lung ventilation include surgical and non-surgical reasons. Isolation can be achieved by double-lumen endotracheal tubes or bronchial blocker. Different issues arise in prone and semi-prone position. The management of hypoxia with lung isolation is a stepwise drill of adding inhaled oxygen, adding positive end-expiratory pressure to ventilated lung and continuous positive airway pressure to non-ventilated side.

Keywords: Hypoxia; lung isolation; one-lung ventilation; shunt fraction; techniques

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