One-lung ventilation (OLV) is an anesthesiological technique that is increasingly being used beyond thoracic surgery. This requires specific skills and knowledge about airway management, maintenance of gas exchange and prevention of acute lung injury. Sometimes maintaining adequate gas exchange and minimizing acute lung injury may be opposing processes. Parameters validated for OLV titration still have not been found, but a multimodal approach based on low tidal volume, end-expiratory pressure application and alveolar recruitment maneuvers is considered the best way to ensure protective ventilation and reduce lung damage. The purpose of this review is to analyze all these factors using the latest scientific evidence and the opinions of the most influential authors.
Tumori 2017; 103(6): 495 - 503
Article Type: REVIEW
AuthorsFilippo Bernasconi, Federico Piccioni
- • Accepted on 07/04/2017
- • Available online on 07/06/2017
- • Published in print on 23/11/2017
This article is available as full text PDF.
- Bernasconi, Filippo [PubMed] [Google Scholar] 1
- Piccioni, Federico [PubMed] [Google Scholar] 2, * Corresponding Author (email@example.com)
School of Anesthesia and Intensive Care, University of Milan, Milan - Italy
Department of Anesthesia, Intensive Care and Palliative Care, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan - Italy