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Anesth Analg 2006;103:497
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000227071.76482.C8


LETTER TO THE EDITOR

Preventing Hypoxemia During Pulmonary Sleeve Resections

Rodney L. Trytko, MD, MBA

Deaconess Medical Center, Spokane, WA, rtrytko{at}comcast.net

To the Editor:

Dr. Ng reports the effectiveness of jet ventilation during a sleeve resection and one-lung ventilation to prevent desaturation (1). Although this may be an effective method, jet ventilation is not always immediately available and may not result in a quiet surgical field.

Another option in this situation is to ask the surgeon to place a vascular clamp on the main pulmonary artery in the surgical field. This will reduce the shunt flow and immediately increase the oxygen saturation.

Reference

  1. Ng JM. Hypoxemia during one-lung ventilation: jet ventilation of the middle and lower lobes during right upper lobe sleeve resection. Anesth Analg 2005;101:1554–5.[Abstract/Free Full Text]




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press