PMID: 16534313Mar 15, 2006Paper

The lung during and after thoracic anaesthesia

Current Opinion in Anaesthesiology
Göran Hedenstierna, A Tenling

Abstract

Increased awareness of widespread atelectasis and deoxygenation after cardiac surgery, and in the ventilated lung during one-lung anaesthesia, has prompted many studies on recruitment of collapsed tissue and other methods to treat hypoxia in the perioperative period. It is therefore time to summarize what benefits might come from such manoeuvres. Major findings are that recruitment by different, often vigorous inflation of the lungs improves oxygenation and that this can also be seen when a recruitment manoeuvre is done of the ventilated lung in one-lung anaesthesia. The inspired oxygen fraction seems to be an important determinant of how long the recruitment persists. Recruitment manoeuvres are highly efficient in improving oxygenation but often for a limited period. So they have to be repeated. To what extent they may affect hospital stay and other variables of outcome, remains to be shown.

References

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May 20, 2003·Clinical Physiology and Functional Imaging·Göran Hedenstierna
Jun 25, 2003·British Journal of Anaesthesia·J Pfitzer
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Citations

Dec 30, 2014·Expert Review of Respiratory Medicine·Ruben D Restrepo, Jane Braverman
Dec 5, 2009·Archivos de bronconeumología·Pablo Rama-Maceiras
Jun 28, 2008·Acta Anaesthesiologica Scandinavica·G CinnellaM Dambrosio
Sep 20, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Judith L HoughAndreas Schibler
Aug 17, 2021·Current Anesthesiology Reports·Javier H Campos, Dionne Peacher

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