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LETTER TO THE EDITOR

Preventing Hypoxemia During Pulmonary Sleeve Resections

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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