Anaes Cases · Thoracic anaesthesia & one-lung ventilation
The hypoxia during the OLV
The short case — the OLV hypoxia. The systematic: the FiO2, the check-DLT-position (the fibrescope), the PEEP, the CPAP to non dependent, the recruitment, the two lung if refractory, the surgeon.
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Prompt
Twenty minutes into the right-lung OLV for the VATS, the saturation falls to 88 per cent on the 100 per cent oxygen. Manage.
Presentation
Twenty minutes into the right-lung OLV for the right VATS, the saturation falls from 98 to 88 per cent on the 100 per cent oxygen. The blood pressure is stable. The surgeon is operating. Manage the hypoxia.
References1ShowHide
- [3]Licker M, et al. The hypoxic pulmonary vasoconstriction: From physiology to clinical application in thoracic surgery. Saudi J Anaesth, 2021.PMID 34764832