Inhaled Epoprostenol During One-Lung Ventilation

We used inhaled epoprostenol (with intravenous phenylephrine) during one-lung ventilation to improve oxygenation in a patient with severe interstitial lung disease undergoing video-assisted thoracoscopic surgery. The pharmacologic manipulation of pulmonary blood flow remains an underused strategy fo...

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Veröffentlicht in:	The Annals of thoracic surgery 2010-03, Vol.89 (3), p.981-983
Hauptverfasser:	Raghunathan, Karthik, MD, MPH, Connelly, Neil Roy, MD, Robbins, Larry D., DO, Ganim, Rose, MD, Hochheiser, Gary, MD, DiCampli, Rebecca, DO
Format:	Artikel
Sprache:	eng
Schlagworte:	Administration, Inhalation Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Biopsy Cardiology. Vascular system Cardiothoracic Surgery Epoprostenol - administration & dosage Humans Infusions, Intravenous Lung - pathology Lung Diseases, Interstitial - diagnosis Male Medical sciences Middle Aged Nebulizers and Vaporizers Phenylephrine - administration & dosage Pneumology Pulmonary Circulation - drug effects Respiration, Artificial - methods Surgery Thoracic Surgery, Video-Assisted Vasodilator Agents - administration & dosage
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Zusammenfassung:	We used inhaled epoprostenol (with intravenous phenylephrine) during one-lung ventilation to improve oxygenation in a patient with severe interstitial lung disease undergoing video-assisted thoracoscopic surgery. The pharmacologic manipulation of pulmonary blood flow remains an underused strategy for the management of hypoxemia during one-lung ventilation.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2009.07.059