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首页> 外文期刊>Current opinion in anaesthesiology >New concepts of the management of one-lung ventilation.
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New concepts of the management of one-lung ventilation.

机译:单肺通气管理的新概念。

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PURPOSE OF REVIEW: Hypoxemia is considered to be the most important challenge during one-lung ventilation. Recent studies, however, have shown that one-lung ventilation can involve some lung damage and can therefore be per se a cause of hypoxemia. RECENT FINDINGS: It has been shown that some parameters of one-lung ventilation are associated with an increased probability of lung injury. High tidal volumes can trigger an increase in some inflammatory mediators in both experimental and clinical settings. High inspiratory pressures and/or a collapse of alveoli in every respiratory cycle would lead not only to an impairment of oxygenation, but also to a further incidence of 'postpneumonectomy pulmonary edema', the earlier definition of lung injury associated with one-lung ventilation. SUMMARY: Hypoxemia should always be considered as the most important challenge during one-lung ventilation. One should also keep in mind, however, that some ventilatory strategies can even be harmful.
机译:审查目的:低氧血症被认为是单肺通气期间最重要的挑战。但是,最近的研究表明,单肺通气可能会引起一些肺损伤,因此本身可能是低氧血症的原因。最近的发现:已经表明,单肺通气的某些参数与肺损伤的可能性增加有关。在实验和临床环境中,高潮气量均可触发某些炎症介质的增加。在每个呼吸周期中较高的吸气压力和/或肺泡塌陷不仅会导致氧合受损,还会导致“肺切除术后肺水肿”的进一步发生,后者是与单肺通气相关的肺损伤的早期定义。摘要:低氧血症应始终被视为单肺通气期间最重要的挑战。但是,还应该记住一些通风策略甚至可能有害。

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