Apnoeic oxygenation on one-lung ventilation in functionally impaired patients during sleeve lobectomy

Sánchez-Lorente, David; Gómez-Caro, Abel; Jiménez, María José; Molins, Laureano

doi:10.1016/j.ejcts.2010.11.056

Cited by 13 publications

(11 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Apnoeic oxygenation of the deflated lung during one‐lung ventilation reduces the likelihood of hypoxaemia and the need for resumption of double‐lung ventilation . This can be achieved via an endobronchial suction catheter or, during bronchial anastomosis formation, via a surgically‐placed catheter distal to the anastomosis.…”

Section: Apnoeic Oxygenation For the Avoidance Of Lung Movementmentioning

confidence: 99%

Uses and mechanisms of apnoeic oxygenation: a narrative review

Lyons

Callaghan

2019

Anaesthesia

View full text Add to dashboard Cite

Apnoeic oxygenation refers to oxygenation in the absence of spontaneous respiration or mechanical ventilation. It has been described in humans for over half a century and has seen a resurgence in interest given its potential to delay oxygen desaturation during airway management, especially with the advent of high-flow nasal cannulae. This narrative review summarises our current understanding of the mechanisms of gas exchange during apnoeic oxygenation and its diverse range of clinical applications, including its use at induction of anaesthesia and for the facilitation of 'tubeless anaesthesia'. Additional discussion covers use in critical care, obese, obstetric and paediatric sub-populations. The article also highlights current research efforts aiming to enhance the evidence base for the use of this technique.

show abstract

Section: Apnoeic Oxygenation For the Avoidance Of Lung Movementmentioning

confidence: 99%

Uses and mechanisms of apnoeic oxygenation: a narrative review

Lyons

Callaghan

2019

Anaesthesia

View full text Add to dashboard Cite

show abstract

“…The method in this study was not tested directly on hypoxemic patients during OLV. Hovewer, this intervention was found to be also useful to improve oxygen saturation in severely hypoxic patients during OLV [16][17][18] . Sanchez-Lorente and colleagues [16] have shown that oxygen flow of 5-10 L min -1 administered by a paediatric intra-field catheter placed in the distal bronchi during circular bronchial anastomosis of the spared lobe(s) successfully improved oxygenation in patients who had decreased peripheral oxygen saturation (SaO 2 lower than 90%) during one-lung ventilation.…”

Section: Discussionmentioning

confidence: 95%

Effects of Non-Dependent Lung Oxygen Insufflation on Oxygenation and Respiratory Mechanics During One-Lung Ventilation in Patients with Stage II COPD

Öztürk¹,

Aydın²,

Yaldız³

et al. 2015

GKDA Derg

View full text Add to dashboard Cite

Introduction: The aim of this study was to investigate the changes on oxygenation, shunt ratio and respiratory mechanics of 6 L/min oxygen insufflation to the non-dependent lung, while extrinsic PEEP (PEEPe, equivalent to the patient's PEEPi) was being applied to the dependent lung in patients undergoing lung surgery. Material and Methods: Patients with stage II COPD undergoing elective lung surgery (n=22) were intubated with a doublelumen endobronchial tube and performed a PA catheterization. One lung ventilation settings were: tidal volume 6 ml/kg, 12 breaths/min, and I: E ratio 1: 2. Procedure was performed in four sequential periods (each period continued for 15 minutes): After first stabilization period (PEEP0-1), PEEPe (at the level of intrinsic PEEP,PEEPi) was applied in the dependent lung while the non-dependent lung was exposed to air. After second stabilization period (PEEP0-2), the non-dependent lung received 6 L/min oxygen (O 2) through a catheter placed into the tube while PEEPe (at the level of PEEPi)was applied in the dependent lung (PEEPe+O 2). At the end of each 15 minute period, haemodynamic data, lung compliance (C), airway resistance (R), and PEEPi were recorded and blood gas samples were obtained. Results: PaO 2 was significantly higher during the PEEPe+O 2 period (p<0.001), while Qs/Qt was significantly lower in the PEEPe+O 2 period when compared with the PEEPe period (p<0.0001). Compliance increased significantly during PEEPe compared to PEEP0-1 (p<0.05). Discussion and Conclusion: The insufflation of oxygen to the non-dependent lung with application of PEEPe-equivalent to the patient's PEEPi-to the dependent lung increased oxygenation and decreased Qs/Qt in patients with moderate COPD. We recommend this simple and useful method which does not need extra equipment.

show abstract

“…The only feasible option seemed to be the placement of an Aintree intubating catheter in the bronchus intermedius and advancement of a cuffed tracheal tube into the left main bronchus. The use of one-lung catheter oxygenation in elective thoracic surgery, where planned lung collapse leads to hypoxia, is well described in the literature [6][7][8] and is achieved by passage of the oxygenating catheter through the non-ventilated lumen of the double lumen tube. A further report describes a similar technique using an embolectomy catheter to act as a selective lobar blocker and oxygenation adjunct [9].…”

Section: Discussionmentioning

confidence: 99%

Acute life‐threatening massive haemoptysis in a patient with a predicted difficult airway and emphysematous lung disease

et al. 2018

View full text Add to dashboard Cite

Summary A 61‐year‐old male presented to the emergency department with acute life‐threatening massive haemoptysis. His previous history was remarkable for extensive mandibular and retromolar resection and reconstruction for squamous cell carcinoma ten years previously. A recent computed tomography scan of the thorax showed severe bullous emphysema. There were several features suggestive of a difficult airway, such as reduced mouth opening and fixed neck flexion. A technique was required, therefore, that avoided the use of a double‐lumen tube or bronchial blocker. We report the successful use of a post‐carinal Aintree intubation catheter to facilitate oxygenation of the right lung with a concurrent bronchially‐advanced single‐lumen tracheal tube to isolate and ventilate the left lung. This temporising strategy successfully bridged the life‐threatening phase of acute haemoptysis and the patient later received definitive treatment for a newly‐identified right upper lobe adenocarcinoma.

show abstract

Apnoeic oxygenation on one-lung ventilation in functionally impaired patients during sleeve lobectomy

Cited by 13 publications

References 7 publications

Uses and mechanisms of apnoeic oxygenation: a narrative review

Uses and mechanisms of apnoeic oxygenation: a narrative review

Effects of Non-Dependent Lung Oxygen Insufflation on Oxygenation and Respiratory Mechanics During One-Lung Ventilation in Patients with Stage II COPD

Acute life‐threatening massive haemoptysis in a patient with a predicted difficult airway and emphysematous lung disease

Contact Info

Product

Resources

About