One Lung Ventilation & MH Flashcards

1
Q

What are some common indications for 1 lung ventilation?

A
  • pneumonectomy, lobectomy, segmental resection
  • Any approach passing through the chest (mediastinum, esophagus or Any need to isolate 1 lung: (bleeding, infection, bronchopleural fistula)
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2
Q

After intubation, how is a patient positioned?

A

Lateral decubitus position.

Iatrogenic pneumothorax of the upper lung (non-dependent lung), provides access to surgical field.

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3
Q

Should IVF be given liberally or restricted during 1 lung ventilation?

A

Restrict IVF to basic maintenance due to risk of gravity dependent transudation of fluid to lower lung and edema to of collapsed lung (upper/ nondependent lung).

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4
Q

In the AWAKE & LATERAL position the dependent lung is better perfused and ______?

A

Ventilated

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