One-lung ventilation of children during surgical excision of hydatid cysts of the lung

Abstract

One-lung ventilation was used in 13 children, undergoing surgical excision of pulmonary hydatid cysts. Five had nght-sided pulmonary cysts and eight had left cysts. An ordinary cuffed tracheal rube was introduced to the main bronchus of the healthy side One-lung ventilation using 1-2% halothane in oxygen produced Pao2 values of 12.6-33.3kPa and Paco2 values of 4-6kPa. After operation there was a high frequency of right upper lobe collapse m cases of selective right bronchial intubation, but this cleared completely within 3-4 days The technique proved to be a simple and effective method of isolating and ventilating the healthy lung © 1982 The Macmillan Press Ltd.