Abstract

REDONDO GOMEZ, Zhachel; PASCUAL VILLARDEFRANCOS, Haydee; SEGURA LLANES, Niurka  and  PLASENCIA PEREZ, Herenia. Strategies in the selective lung ventilation during lung cancer resection. Rev cuba anestesiol reanim [online]. 2013, vol.12, n.1, pp. 80-90. ISSN 1726-6718.

Background: The advances in anaesthetic behaviour, technical techniques and preoperative care have made it possible to expand the population that can now be considered as "operable" for lung resection. The physiology of selective lung ventilation is closely connected to its effects on the pulmonary ventilation-perfusion relation. Several factors affect this relation because of its effects in the lung satisfaction. The lung isolation uncouples the ventilation-perfusion binomial in the operated lung and can produce a significant hypoxemia if it is not treated properly. Objectives: To identify the evidence-based administration of the ventilation during the selective lung ventilation focused to avoid hypoxemia and postoperative lung injury. Methods: A detailed review of the available literature about evidence-based ventilation strategies during the selective lung ventilation was made. Conclusions: To follow a better treatment of the disturbances in relation to the ventilation-perfusion that occur in the selective lung ventilation it is necessary to become familiar with the basic principles that govern pulmonary ventilation-perfusion and apply methods to improve oxygenation during the selective lung ventilation and protective ventilation strategies to diminish the incidence or severity of lung injury after thoracotomy.

Keywords : Selective lung ventilation; ventilation-perfusion relation; hypoxic pulmonary vasoconstriction; hypoxemia; acute lung injury; positive end-expiratory pressure; continuous positive airway pressure.

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