Research and development of one-lung ventilation in cardiothoracic surgery
- VernacularTitle:心胸外科手术中单肺通气的研究与进展
- Author:
Zhanyun YANG
;
Li WANG
;
Wei WEI
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2007;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:One-lung ventilation is wildly applied in cardiothoracic surgery including general surgery and lung transplantation surgery.There have been much more researches of one-lung ventilation in recent years.OBJECTIVE:To analyze and conclude the research progress of one-lung ventilation with a view to improve the effectiveness of one-lung ventilation and reduce complications during and after one-lung ventilation.RETRIEVAL STRATEGY:A computer-based search of Medline was undertaken to identify the articles about one-lung ventilation published from January 1980 to October 2007 with the keywords "one-lung ventilation,hypoxemia,lung transplantation",and the language was limited to English.Chinese articles about one-lung ventilation punished from January 2000 to October 2007 were searched in China National Knowledge Infrastructure(CNKI),with the keywords "one-lung ventilation,hypoxemia,lung transplantation" and the language was limited to Chinese.The materials were selected firstly and full texts were searched.Inclusion criteria:①the basic and clinical study on one-lung ventilation;②the clinical study on anesthesia of lung transplantation.Exclusion criteria:①repetitive study;②reviews.Over 300 articles on one-lung ventilation were collected,in which 28 were accordant with inclusion criteria.LITERATURE EVALUATION:Of the 28 articles,15 were about the study of the management during one-lung ventilation,and 13 were the hypoxemia study of one-lung ventilation.DATA SYNTHESIS:After the selected literatures were analyzed and arranged,the management of one-lung ventilation including the selection of ventilation mode,the settings of tidal volume and respiratory frequency,fraction of inspired oxygen,fluid management was analyzed.Hypoxemia is the biggest challenge during one-lung ventilation.We may improve arterial oxygenation and reduce the occurrence of hypoxemia by various ways.However,the management of one-lung ventilation is still controversial and needs further study.CONCLUSION:With the study on the management of one-lung ventilation and the handling of common matters deepens continuously,the application of one-lung ventilation will be more widespread and more safe.
