Using recruitment maneuvers to decrease tidal volumes during one-lung ventilation.

摘要

NO anesthesiologist has failed to be amazed at the process of reexpanding the lung after thoracotomy. A long sustained breath turns a meaty atelectatic organ into a pink and airy one, one acinar unit at atime. During thoracic surgeries, the one ventilated lung has to sustain the patient. Overcoming hypox-emia is the batde for thoracic anesthesiologists. What is the best ventilatory strategy to improve oxygenation while minimizing lung injury during one-lung ventilation (OLV)?