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Review
. 2015 Sep;59(9):606-17.
doi: 10.4103/0019-5049.165855.

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

Atul Purohit  1 , Suresh Bhargava  2 , Vandana Mangal  3 , Vinod Kumar Parashar  1
Affiliations
Review

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

Atul Purohit et al. Indian J Anaesth. 2015 Sep.

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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Figures

Figure 1
Figure 1
(a-d) Fibre-optic view of tracheal and bronchial carina with left sided double lumen tube in situ
Figure 2
Figure 2
Schematic diagram of the Univent tube with bronchial blocker in position
Figure 3
Figure 3
(a-f) Tips of bronchial blockers
Figure 4
Figure 4
(a and b) Arndt blocker with Cook's multi-port adapter
Figure 5
Figure 5
Marraro's bilumen paediatric endotracheal tube
See this image and copyright information in PMC

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