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Current Anesthesiology Reports
Erschienen in: Current Anesthesiology Reports 2/2016

01.06.2016 | Thoracic Anesthesia (T Schilling, Section Editor)

Oxygenation and Ventilation Strategies for Patients Undergoing Lung Resection Surgery After Prior Lobectomy or Pneumonectomy

verfasst von: Chris Durkin, Jens Lohser

Erschienen in: Current Anesthesiology Reports | Ausgabe 2/2016

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Abstract

Lung resection surgery after a prior lobectomy or pneumonectomy is becoming more prevalent. Elevated shunt fractions and reduced functional lung parenchyma complicate one-lung ventilation in the patient with a prior contralateral lobectomy. Meanwhile, lung resection after pneumonectomy requires reliance on the solitary, surgical lung for adequate oxygenation and ventilation without impeding surgical progress. These challenges require appropriate preoperative investigations and planning to facilitate a technique that balances the need for adequate gas exchange and lung injury prevention with the desire for sufficient exposure to allow for a complete surgical resection and optimal oncologic outcomes.
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Metadaten
Titel
Oxygenation and Ventilation Strategies for Patients Undergoing Lung Resection Surgery After Prior Lobectomy or Pneumonectomy
verfasst von
Chris Durkin
Jens Lohser
Publikationsdatum
01.06.2016
Verlag
Springer US
Erschienen in
Current Anesthesiology Reports / Ausgabe 2/2016
Elektronische ISSN: 2167-6275
DOI
https://doi.org/10.1007/s40140-016-0153-x

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