One Lung Ventilation & MH

Question 1

What are some common indications for 1 lung ventilation?

Answer 1

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

Question 2

After intubation, how is a patient positioned?

Answer 2

Lateral decubitus position.

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

Question 3

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

Answer 3

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).

Question 4

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

Answer 4

Ventilated