The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 6 , Pages 1436-1440 , June 2010

Effects of head-up tilt on intrapulmonary shunt fraction and oxygenation during 1-lung ventilation in the lateral decubitus position

  • Sung Yong Park, MD

      Affiliations

    • Department of Anesthesiology and Pain Medicine, Ajou University of College of Medicine, Suwon, Korea
    • ,
  • Dae Hee Kim, MD

      Affiliations

    • Department of Anesthesiology and Pain Medicine, Ajou University of College of Medicine, Suwon, Korea
    • ,
  • Jin Soo Kim, MD, PhD

      Affiliations

    • Department of Anesthesiology and Pain Medicine, Ajou University of College of Medicine, Suwon, Korea
    • ,
  • Sung Soo Lee, MD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, Ajou University of College of Medicine, Suwon, Korea
    • ,
  • Yong Woo Hong, MD, PhD

      Affiliations

    • Department of Anesthesiology and Pain Medicine, Ajou University of College of Medicine, Suwon, Korea
    • Corresponding Author InformationAddress for reprints: Yong Woo Hong, MD, PhD, Department of Anesthesiology and Pain Medicine, Ajou University College of Medicine, San 5, Wonchon-dong, Yeongtong-gu, Suwon 443-721, Korea.

Received 2 March 2009 ,Revised 16 June 2009 ,Accepted 16 July 2009.

References 

  1. Guenoun T, Journois D, Silleran-Chassany J, Frappier J, D'attellis N, Salem A, et al. Prediction of arterial oxygen tension during one-lung ventilation: analysis of preoperative and intraoperative variables. J Cardiothorac Vasc Anesth. 2002;16:199–203
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  3. Grichnik KP, Clark JA. Pathophysiology and management of one-lung ventilation. Thorac Surg Clin. 2005;15:85–103
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  7. Choi YS, Bang SO, Shim JK, Chung KY, Kwak YL, Hong YW. Effects of head-down tilt on intrapulmonary shunt fraction and oxygenation during one-lung ventilation in the lateral decubitus position. J Thorac Cardiovasc Surg. 2007;134:613–618
  8. Chow MY, Goh MH, Boey SK, Thirugnanam A, Ip-Yam PC. The effects of remifentanil and thoracic epidural on oxygenation and pulmonary shunt fraction during one-lung ventilation. J Cardiothorac Vasc Anesth. 2003;17:69–72
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  12. Tusman G, Böhm SH, Suarez-Sipmann F, Turchetto E. Alveolar recruitment improves ventilatory efficiency of the lungs during anesthesia. Can J Anaesth. 2004;51:723–727
  13. Tusman G, Böhm SH, Sipmann FS, Maisch S. Lung recruitment improves the efficiency of ventilation and gas exchange during one-lung ventilation anesthesia. Anesth Analg. 2004;98:1604–1609
  14. Heneghan CP, Bergman NA, Jones JG. Changes in lung volume and (PAO2-PaO2) during anaesthesia. Br J Anaesth. 1984;56:437–445
  15. Domino KB, Eisenstein BL, Tran T, Hlastala MP. Increased pulmonary perfusion worsens ventilation-perfusion mismatch. Anesthesiology. 1993;79:817–821
  16. Bindslev L, Jolin A, Hedenstierna G, Baehrendtz S, Santesson J. Hypoxic pulmonary vasoconstriction in the human lung: effect of repeated hypoxic challenges during anesthesia. Anesthesiology. 1985;62:621–625

 Disclosures: None.

PII: S0022-5223(09)00993-3

doi: 10.1016/j.jtcvs.2009.07.041

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 6 , Pages 1436-1440 , June 2010

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