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Cahiers d'anesthésiologie · Dec 1984
[Prevention of early respiratory complications in esophageal surgery by ventilation of the independent lungs].
- A Neidhardt, R Douge, J M Kunegel, M Pequignot, and B Fergane.
- Cah Anesthesiol. 1984 Dec 1; 32 (8): 613-6.
AbstractIndependent lung controlled ventilation by a double lumen tube has a beneficial effect in oesophagus surgery. Use of a tidal volume and an end-expiratory pressure different for each lung produces a drastic reduction of chest-X-ray abnormalities. In an homogen group of ten patients studied before and treated with conventional respiratory support, chest-X-ray abnormalities were seen in 80% cases. In this group of 34 patients treated with independent lung ventilation the rate of abnormalities is only of 20%. Independent lung ventilation decreases early pulmonary complications in dependent regions of the lungs, and late pulmonary complications in non dependent regions. This form of mechanical ventilation is performed with a "prototype" ventilator of small size, which permits synchronized or independent ventilation of the lungs.
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