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Anaes SAQsThoracic anaesthesia & one-lung ventilation

Anaes SAQs · Thoracic anaesthesia & one-lung ventilation

The hypoxic pulmonary vasoconstriction and the OLV hypoxia

Primary — the HPV (the constriction of the hypoxic pulmonary arterioles, the reduced shunt by 50%); the volatile-inhibition (the TIVA-the-preferred); the hypoxia-management (the FiO2, the PEEP, the CPAP, the recruitment, the two-lung, the surgeon).

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Target exams

ANZCAFRCAABAEDAIC
Prompt
Describe the hypoxic pulmonary vasoconstriction (the HPV), its role during the OLV, the factors that affect it, and the management of the hypoxia during the OLV.

Question

Describe the hypoxic pulmonary vasoconstriction (the HPV), its role during the OLV, the factors that affect it, and the management of the hypoxia during the OLV.

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References3ShowHide
  1. [3]Licker M, et al. The hypoxic pulmonary vasoconstriction: from physiology to clinical application. Saudi J Anaesth, 2021.PMID 34764832
  2. [2]Vegh T, et al. Pharmacology of thoracic anesthesia. Curr Opin Anaesthesiol, 2026.PMID 41284736
  3. [41284737]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
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