Application of Continuous Positive Airway Pressure During Video-Assisted Thoracoscopic Surgery
Autor: | Javier H. Campos, Dionne F. Peacher |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Supine position
Lung One-lung ventilation (OLV) business.industry medicine.medical_treatment Thoracic Anesthesia (AM Bergmann Section Editor) Respiratory physiology Oxygenation Video-assisted thoracoscopic surgery (VATS) Hypoxemia respiratory tract diseases Lung isolation techniques Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthesia Video-assisted thoracoscopic surgery Breathing Medicine Robotic-assisted thoracoscopic surgery (RATS) Continuous positive airway pressure medicine.symptom Continuous positive airway pressure (CPAP) business circulatory and respiratory physiology |
Zdroj: | Current Anesthesiology Reports |
ISSN: | 2167-6275 1523-3855 |
Popis: | Purpose of Review Video-assisted thoracoscopic surgery (VATS) and robotic-assisted thoracoscopic surgery (RATS) are used for anatomic resection of early stage cancer. These surgical techniques require the use of one-lung ventilation (OLV). During OLV, an obligatory intrapulmonary shunt may produce hypoxemia. One method to correct hypoxemia is with the use of continuous positive airway pressure (CPAP). This review focuses on 1) the lung physiology of OLV; 2) application of CPAP in VATS or RATS during supine and lateral position; and 3) the application of CPAP in COVID-19 patients during OLV. Recent Findings Studies have shown the beneficial effects of CPAP to improve oxygenation during OLV while the patient is in the lateral decubitus position. In contrast, studies have shown no benefit on improving oxygenation with CPAP in patients undergoing OLV in supine position. Summary The application of CPAP to the non-dependent lung is one of the options to treat hypoxemia during VATS or RATS. |
Databáze: | OpenAIRE |
Externí odkaz: |