CPAP with air and oxygen to non-ventilated lung improves oxygenation during one lung anaesthesia
Ten adult patients undergoing one lung ventilation for elective thoracotomy were selected. All these patients failed to maintain oxygen saturation (SaO2) > 90% despite administration of 100% oxygen to the non-ventilated lung (NVL). These patients were studied for the efficacy of continuous positi...
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Veröffentlicht in: | Journal of the Pakistan Medical Association 1995-02, Vol.45 (2), p.43-44 |
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description | Ten adult patients undergoing one lung ventilation for elective thoracotomy were selected. All these patients failed to maintain oxygen saturation (SaO2) > 90% despite administration of 100% oxygen to the non-ventilated lung (NVL). These patients were studied for the efficacy of continuous positive airway pressure (CPAP) of the NVL using air and oxygen combination (FiO20.5) employing a variable FiO2CPAP system. It was observed that application of CPAP (5-10 cm H2O) with a mixture of air and oxygen to the NVL increased the SaO2 > 90% in all these patients. This could be attributed to nitrogen in air which prevented absorption atelectasis in the NVL. This produced a better ventilation/perfusion ratio and hence the increased oxygen saturation. |
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M ; BHATTI, T. H</creator><creatorcontrib>MAROOF, M ; KHAN, R. M ; BHATTI, T. H</creatorcontrib><description>Ten adult patients undergoing one lung ventilation for elective thoracotomy were selected. All these patients failed to maintain oxygen saturation (SaO2) > 90% despite administration of 100% oxygen to the non-ventilated lung (NVL). These patients were studied for the efficacy of continuous positive airway pressure (CPAP) of the NVL using air and oxygen combination (FiO20.5) employing a variable FiO2CPAP system. It was observed that application of CPAP (5-10 cm H2O) with a mixture of air and oxygen to the NVL increased the SaO2 > 90% in all these patients. This could be attributed to nitrogen in air which prevented absorption atelectasis in the NVL. This produced a better ventilation/perfusion ratio and hence the increased oxygen saturation.</description><identifier>ISSN: 0030-9982</identifier><identifier>PMID: 7602743</identifier><identifier>CODEN: JJPAD4</identifier><language>eng</language><publisher>Karachi: Pakistan Medical Association</publisher><subject>Adult ; Anesthesia ; Anesthesia depending on type of surgery ; Anesthesia, Inhalation ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Humans ; Lung - drug effects ; Lung - metabolism ; Medical sciences ; Middle Aged ; Oxygen - administration & dosage ; Oxygen Consumption ; Pneumonectomy - methods ; Positive-Pressure Respiration ; Thoracic and cardiovascular surgery. Cardiopulmonary bypass ; Time Factors ; Tropical medicine</subject><ispartof>Journal of the Pakistan Medical Association, 1995-02, Vol.45 (2), p.43-44</ispartof><rights>1996 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2966447$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7602743$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MAROOF, M</creatorcontrib><creatorcontrib>KHAN, R. M</creatorcontrib><creatorcontrib>BHATTI, T. H</creatorcontrib><title>CPAP with air and oxygen to non-ventilated lung improves oxygenation during one lung anaesthesia</title><title>Journal of the Pakistan Medical Association</title><addtitle>J Pak Med Assoc</addtitle><description>Ten adult patients undergoing one lung ventilation for elective thoracotomy were selected. All these patients failed to maintain oxygen saturation (SaO2) > 90% despite administration of 100% oxygen to the non-ventilated lung (NVL). These patients were studied for the efficacy of continuous positive airway pressure (CPAP) of the NVL using air and oxygen combination (FiO20.5) employing a variable FiO2CPAP system. It was observed that application of CPAP (5-10 cm H2O) with a mixture of air and oxygen to the NVL increased the SaO2 > 90% in all these patients. This could be attributed to nitrogen in air which prevented absorption atelectasis in the NVL. This produced a better ventilation/perfusion ratio and hence the increased oxygen saturation.</description><subject>Adult</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia, Inhalation</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Humans</subject><subject>Lung - drug effects</subject><subject>Lung - metabolism</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Oxygen - administration & dosage</subject><subject>Oxygen Consumption</subject><subject>Pneumonectomy - methods</subject><subject>Positive-Pressure Respiration</subject><subject>Thoracic and cardiovascular surgery. Cardiopulmonary bypass</subject><subject>Time Factors</subject><subject>Tropical medicine</subject><issn>0030-9982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kD1PwzAURT2ASin8BCQPiC3Si53a8VhVfEmV6ABzeHac1iixS-wU-u-J1IjpDefo3qt3QeYAHDKlSnZFrmP8AmBiCTAjMymAyYLPyed6u9rSH5f2FF1P0dc0_J521tMUqA8-O1qfXIvJ1rQd_I667tCHo42ThskFT-uhdyML3p4l9Ghj2tvo8IZcNthGezvdBfl4enxfv2Sbt-fX9WqTHfIlpIxppvM8V41eKuTaAKsLKLVpUIBhHFRpBNMNRxCMmzpHq7VlUnOsldCq5AvycM4d530PY3vVuWhs26K3YYiVlFwCqHwU7yZx0J2tq0PvOuxP1fSSkd9PHKPBtunRGxf_NaaEKArJ_wA3tWpD</recordid><startdate>199502</startdate><enddate>199502</enddate><creator>MAROOF, M</creator><creator>KHAN, R. M</creator><creator>BHATTI, T. 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Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Humans</topic><topic>Lung - drug effects</topic><topic>Lung - metabolism</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Oxygen - administration & dosage</topic><topic>Oxygen Consumption</topic><topic>Pneumonectomy - methods</topic><topic>Positive-Pressure Respiration</topic><topic>Thoracic and cardiovascular surgery. Cardiopulmonary bypass</topic><topic>Time Factors</topic><topic>Tropical medicine</topic><toplevel>online_resources</toplevel><creatorcontrib>MAROOF, M</creatorcontrib><creatorcontrib>KHAN, R. M</creatorcontrib><creatorcontrib>BHATTI, T. H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the Pakistan Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MAROOF, M</au><au>KHAN, R. M</au><au>BHATTI, T. H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CPAP with air and oxygen to non-ventilated lung improves oxygenation during one lung anaesthesia</atitle><jtitle>Journal of the Pakistan Medical Association</jtitle><addtitle>J Pak Med Assoc</addtitle><date>1995-02</date><risdate>1995</risdate><volume>45</volume><issue>2</issue><spage>43</spage><epage>44</epage><pages>43-44</pages><issn>0030-9982</issn><coden>JJPAD4</coden><abstract>Ten adult patients undergoing one lung ventilation for elective thoracotomy were selected. All these patients failed to maintain oxygen saturation (SaO2) > 90% despite administration of 100% oxygen to the non-ventilated lung (NVL). These patients were studied for the efficacy of continuous positive airway pressure (CPAP) of the NVL using air and oxygen combination (FiO20.5) employing a variable FiO2CPAP system. It was observed that application of CPAP (5-10 cm H2O) with a mixture of air and oxygen to the NVL increased the SaO2 > 90% in all these patients. This could be attributed to nitrogen in air which prevented absorption atelectasis in the NVL. This produced a better ventilation/perfusion ratio and hence the increased oxygen saturation.</abstract><cop>Karachi</cop><pub>Pakistan Medical Association</pub><pmid>7602743</pmid><tpages>2</tpages></addata></record> |
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subjects | Adult Anesthesia Anesthesia depending on type of surgery Anesthesia, Inhalation Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Humans Lung - drug effects Lung - metabolism Medical sciences Middle Aged Oxygen - administration & dosage Oxygen Consumption Pneumonectomy - methods Positive-Pressure Respiration Thoracic and cardiovascular surgery. Cardiopulmonary bypass Time Factors Tropical medicine |
title | CPAP with air and oxygen to non-ventilated lung improves oxygenation during one lung anaesthesia |
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