Physiology of the Lateral Decubitus Position, Open Chest and One-Lung Ventilation

  • Lohser J
  • Ishikawa S
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Abstract

Key Points Ventilation and perfusion matching is optimized for gas • exchange. Induction of anesthesia, one-lung ventilation (OLV) and • opening of the chest progressively uncouple ventilation-perfusion (V/Q) matching. Hypoxic pulmonary vasoconstriction (HPV) improves • V/Q matching during OLV, but can be impaired by anesthetic interventions.

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Lohser, J., & Ishikawa, S. (2011). Physiology of the Lateral Decubitus Position, Open Chest and One-Lung Ventilation. In Principles and Practice of Anesthesia for Thoracic Surgery (pp. 71–82). Springer New York. https://doi.org/10.1007/978-1-4419-0184-2_5

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