One-Lung Ventilation

CA-2 · I.C.2.a.3.a II.C.2.d.1.c.2.b.3.c I.C.2.a.6

54Sources
18Kept
3Dropped

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PubMed query

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54 candidate papers · 24 excluded

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PubMed query

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2 · Teaching points

Source

A point with no source will not survive the gate. That is the point of the gate.

21 points

The provided text is an abstract list from a conference, not a paper detailing one-lung ventilation techniques or physiology. Therefore, I cannot extract a specific teaching point related to one-lung ventilation from this content. PMID 27885969 kept
In thoracic surgery, general anesthesia with controlled ventilation is used, and one-lung ventilation was performed in 64% of cases. PMID 38372517 kept
High tidal volumes during one-lung ventilation can trigger an increase in inflammatory mediators associated with lung injury. PMID 16547426 kept
I am unable to provide a specific teaching point about one-lung ventilation from the provided text, as it only contains the title of a paper and no actual content. PMID 32310393 kept
Confirm double-lumen tube position bronchoscopically; auscultation alone misses malposition. PMID 21540809 kept
UNSOURCED: this point cites nothing and must not survive the gate. no source — claim cites nothing dropped
Confirm double-lumen tube position bronchoscopically; auscultation alone misses malposition. PMID 32538594 kept
UNSOURCED: this point cites nothing and must not survive the gate. no source — claim cites nothing dropped
This randomised trial found that in patients undergoing lung resection with one-lung ventilation, a recruitment manoeuvre to 40 cm H2O followed by PEEP titrated to best respiratory system compliance reduced severe postoperative pulmonary complications versus standard 4 cm H2O PEEP. PMID 38065200 — not confirmed against the abstract: The sentence omits that the iOLA intervention also included individualised postoperative respiratory support with high-flow oxygen therapy, and the control group included postoperative conventional oxygen therapy, so it mischaracterises the perioperative interventions tested. dropped
This meta-analysis found that during OLV, individualized PEEP titration by lung compliance was associated with reduced postoperative pulmonary complications versus fixed PEEP, especially with dynamic compliance or stepwise decremental strategy. PMID 39825438 kept
This randomised trial found PEEP 10 cm H2O with periodic recruitment during one-lung ventilation did not reduce postoperative pulmonary complications and increased intraoperative hypotension compared with PEEP 5 cm H2O without routine recruitment. PMID 41240959 kept
This randomised trial found intraoperative intravenous or paravertebral lidocaine reduced pulmonary complications to 22.3% versus 45.1% with remifentanil after lung resection, with lower cytokine levels after one-lung ventilation. PMID 40897588 kept
This randomized controlled trial found that flow-controlled ventilation required a respiratory minute volume of 3.0 L/min versus 4.5 L/min to achieve comparable mild hypercapnia during one-lung ventilation in patients undergoing elective thoracic surgery. PMID 40020438 kept
This randomized controlled trial found no significant difference in PaO2 at 30 minutes of one-lung ventilation between remimazolam and sevoflurane in adults undergoing thoracoscopic surgery. PMID 41101786 kept
This randomized trial found that lung-ultrasound-guided alveolar recruitment before one-lung ventilation reduced intraoperative hypoxaemia, defined as SpO2 less than 95 percent, to 1.2 percent versus 14.3 percent with conventional recruitment in patients aged 20 to 80 years undergoing lung resection. PMID 40581064 kept
This meta-analysis found that during one-lung ventilation, individualized PEEP titration by lung compliance was associated with a reduced risk of postoperative pulmonary complications compared with fixed PEEP, with a risk ratio of 0.55, especially in titration by dynamic compliance or stepwise decremental strategy. PMID 39825438 kept
This randomised trial found higher PEEP of 10 cm H2O with periodic lung recruitment manoeuvres did not reduce pulmonary complications yet increased intraoperative hypotension versus lower PEEP of 5 cm H2O without routine recruitment. PMID 41240959 kept
This randomised trial found intraoperative intravenous or paravertebral lidocaine reduced pulmonary complications to 22.3% versus 45.1% with remifentanil in lung resection patients undergoing one-lung ventilation. PMID 40897588 kept
This randomized trial found that during one-lung ventilation in elective thoracic surgery, flow-controlled ventilation needed a minute volume of only 3.0 L/min versus 4.5 L/min to maintain comparable mild hypercapnia. PMID 40020438 kept
This randomized controlled trial found no significant difference in PaO2 at 30 minutes of one-lung ventilation between remimazolam and sevoflurane in adults undergoing thoracoscopic surgery. PMID 41101786 kept
This randomized trial found that preemptive lung-ultrasound-guided alveolar recruitment before one-lung ventilation reduced intraoperative hypoxaemia, defined as SpO2 below 95%, to 1.2% versus 14.3% with conventional recruitment in patients aged 20-80 undergoing lung resection. PMID 40581064 kept

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