Comment évaluer le risque de complications chez un patient ?
Le risque est évalué par l'historique médical et les tests de fonction pulmonaire.
Évaluation du risqueHistorique médical
Traitements
5
#1
Quels traitements sont utilisés lors de la ventilation sur poumon unique ?
Les traitements incluent l'anesthésie générale et la gestion des voies respiratoires.
Anesthésie généraleGestion des voies respiratoires
#2
Comment gérer l'hypoxie pendant la procédure ?
L'hypoxie est gérée par l'augmentation de l'oxygène et l'ajustement de la ventilation.
HypoxieVentilation
#3
Quels médicaments sont utilisés pour la sédation ?
Les médicaments incluent les benzodiazépines et les opioïdes pour la sédation.
BenzodiazépinesOpioïdes
#4
Comment surveiller le patient pendant la ventilation ?
La surveillance inclut la mesure de la saturation en oxygène et des paramètres vitaux.
SurveillanceParamètres vitaux
#5
Quelles techniques d'anesthésie sont utilisées ?
Les techniques incluent l'anesthésie intraveineuse et l'anesthésie par inhalation.
Anesthésie intraveineuseAnesthésie par inhalation
Complications
5
#1
Quelles sont les complications possibles de la ventilation sur poumon unique ?
Les complications incluent l'hypoxie, l'atélectasie et les infections pulmonaires.
HypoxieAtélectasie
#2
Comment reconnaître une atteinte pulmonaire après la procédure ?
L'atteinte pulmonaire se manifeste par une dyspnée, une toux et une douleur thoracique.
Atteinte pulmonaireDyspnée
#3
Quels sont les signes d'une infection post-opératoire ?
Les signes incluent fièvre, toux productive et douleur thoracique accrue.
Infection post-opératoireFièvre
#4
Comment traiter une complication respiratoire ?
Le traitement inclut l'administration d'oxygène, des bronchodilatateurs et des antibiotiques.
Complications respiratoiresBronchodilatateurs
#5
Quels facteurs augmentent le risque de complications ?
Les facteurs incluent l'âge avancé, les maladies pulmonaires préexistantes et le tabagisme.
Âge avancéMaladies pulmonaires
Facteurs de risque
5
#1
Quels sont les facteurs de risque pour la ventilation sur poumon unique ?
Les facteurs incluent des antécédents de maladies pulmonaires et le tabagisme.
Antécédents médicauxTabagisme
#2
Comment l'âge influence-t-il le risque ?
L'âge avancé augmente le risque de complications respiratoires et de morbidité.
Âge avancéComplications respiratoires
#3
Quel rôle joue l'obésité dans les risques ?
L'obésité peut aggraver la fonction pulmonaire et augmenter le risque d'apnée du sommeil.
ObésitéApnée du sommeil
#4
Comment les maladies cardiaques affectent-elles le risque ?
Les maladies cardiaques augmentent le risque de complications pendant et après la chirurgie.
Maladies cardiaquesComplications
#5
Quels antécédents médicaux sont préoccupants ?
Les antécédents de chirurgie thoracique, d'asthme ou de BPCO sont préoccupants.
Chirurgie thoraciqueBPCO
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"name": "Comment évaluer la nécessité d'une ventilation sur poumon unique ?",
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"text": "L'évaluation se fait par l'examen clinique et l'imagerie thoracique pour déterminer l'indication."
}
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"@type": "Question",
"name": "Quels tests sont utilisés pour diagnostiquer des problèmes pulmonaires ?",
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"@type": "Question",
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"@type": "Question",
"name": "Comment déterminer la fonction pulmonaire avant la procédure ?",
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"@type": "Question",
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"@type": "Question",
"name": "Quels symptômes peuvent nécessiter une ventilation sur poumon unique ?",
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"@type": "Question",
"name": "Comment se manifeste une hypoxie pendant la ventilation ?",
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"@type": "Answer",
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},
{
"@type": "Question",
"name": "Quels signes indiquent une mauvaise ventilation unilatérale ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent une asymétrie thoracique et une diminution des bruits respiratoires."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent survenir après la procédure ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes post-opératoires incluent douleur thoracique, toux et difficulté à respirer."
}
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{
"@type": "Question",
"name": "Comment reconnaître une complication respiratoire ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent se manifester par une détresse respiratoire soudaine ou une fièvre."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications lors de la ventilation ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention inclut une évaluation préopératoire rigoureuse et une technique appropriée."
}
},
{
"@type": "Question",
"name": "Quels conseils donner aux patients avant la chirurgie ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les conseils incluent l'arrêt du tabac et l'optimisation de la fonction pulmonaire."
}
},
{
"@type": "Question",
"name": "Comment minimiser le risque d'infection ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le risque d'infection est minimisé par une asepsie stricte et des antibiotiques prophylactiques."
}
},
{
"@type": "Question",
"name": "Quelles sont les recommandations post-opératoires ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les recommandations incluent la surveillance des signes vitaux et la réhabilitation respiratoire."
}
},
{
"@type": "Question",
"name": "Comment évaluer le risque de complications chez un patient ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le risque est évalué par l'historique médical et les tests de fonction pulmonaire."
}
},
{
"@type": "Question",
"name": "Quels traitements sont utilisés lors de la ventilation sur poumon unique ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent l'anesthésie générale et la gestion des voies respiratoires."
}
},
{
"@type": "Question",
"name": "Comment gérer l'hypoxie pendant la procédure ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'hypoxie est gérée par l'augmentation de l'oxygène et l'ajustement de la ventilation."
}
},
{
"@type": "Question",
"name": "Quels médicaments sont utilisés pour la sédation ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les médicaments incluent les benzodiazépines et les opioïdes pour la sédation."
}
},
{
"@type": "Question",
"name": "Comment surveiller le patient pendant la ventilation ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "La surveillance inclut la mesure de la saturation en oxygène et des paramètres vitaux."
}
},
{
"@type": "Question",
"name": "Quelles techniques d'anesthésie sont utilisées ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les techniques incluent l'anesthésie intraveineuse et l'anesthésie par inhalation."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles de la ventilation sur poumon unique ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'hypoxie, l'atélectasie et les infections pulmonaires."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une atteinte pulmonaire après la procédure ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'atteinte pulmonaire se manifeste par une dyspnée, une toux et une douleur thoracique."
}
},
{
"@type": "Question",
"name": "Quels sont les signes d'une infection post-opératoire ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent fièvre, toux productive et douleur thoracique accrue."
}
},
{
"@type": "Question",
"name": "Comment traiter une complication respiratoire ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement inclut l'administration d'oxygène, des bronchodilatateurs et des antibiotiques."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de complications ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'âge avancé, les maladies pulmonaires préexistantes et le tabagisme."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque pour la ventilation sur poumon unique ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent des antécédents de maladies pulmonaires et le tabagisme."
}
},
{
"@type": "Question",
"name": "Comment l'âge influence-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'âge avancé augmente le risque de complications respiratoires et de morbidité."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'obésité dans les risques ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'obésité peut aggraver la fonction pulmonaire et augmenter le risque d'apnée du sommeil."
}
},
{
"@type": "Question",
"name": "Comment les maladies cardiaques affectent-elles le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les maladies cardiaques augmentent le risque de complications pendant et après la chirurgie."
}
},
{
"@type": "Question",
"name": "Quels antécédents médicaux sont préoccupants ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents de chirurgie thoracique, d'asthme ou de BPCO sont préoccupants."
}
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Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, OH; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH; Department of Anesthesiology & Pain Medicine, The Ohio State University College of Medicine, Columbus, OH.
Publications dans "Ventilation sur poumon unique" :
Department of Critical and Supportive Care, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Instituto Nazionale dei Tumori, Milan, Italy.
Publications dans "Ventilation sur poumon unique" :
Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver General Hospital, JPP3 Room 3400, 899 West 12th Avenue, Vancouver, British Columbia V5Z-1M9 Canada.
Publications dans "Ventilation sur poumon unique" :
Institut D'investigació August Pi I Sunyer, Barcelona, Spain; CIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain. Electronic address: cafeoranestesia@gmail.com.
Publications dans "Ventilation sur poumon unique" :
Lung isolation is a technique used in a multitude of surgeries to ensure single-lung ventilation with collapse of the contralateral lung, as to achieve improved access and visualization of relevant an...
In this retrospective and descriptive study, we analyzed the safety and efficacy of a BB in all types of thoracic surgeries in our centre between 2015 and 2022, excluding patients with massive hemopty...
One hundred and thirty-four patients were intervened due to lung cancer (67.9%), respiratory disease (23.9%), and non-respiratory disease (8.2%) undergoing lung surgeries (65.7%), pleural and mediasti...
With these results, in our experience BBs constitute an effective alternative, capable of achieving pulmonary collapse in all kinds of thoracic procedures with satisfactory safety rates due to their m...
One lung ventilation (OLV) is a technique used during lung resection surgery to facilitate optimal surgical conditions. However, this may result in severe hypoxemia due to the right-to-left shunt crea...
In this single-center randomized controlled, cross-over study, each patient acted as his control as well as the study. Patients crossed over from SLV to CPAP (or vice versa) with an interval period du...
The study revealed that oxygenation was significantly better when using SLV to the non-ventilated lung during the period of OLV (P = 0.03). However, the surgeon found a significantly better surgical f...
The study showed that using SLV to the non-ventilated lung during the period of OLV was superior in terms of oxygenation, although it interfered more with the surgical field....
BACKGROUND One-lung ventilation is the separation of the lungs by mechanical methods to allow ventilation of only one lung, particularly when there is pathology in the other lung. This retrospective s...
Studies linked a high intensity of mechanical ventilation, measured as high mechanical power (MP) to postoperative respiratory failure (PRF) in the setting of two-lung ventilation. We investigated whe...
In this registry-based study, adult patients who underwent general anesthesia with OLV for thoracic surgeries between 2006 and 2020 at a New England tertiary healthcare network were included. The asso...
Out of 878 included patients, 106 (12.1%) developed PRF. The median (IQR) MP during OLV was 9.8 J/min (7.5-11.8) and 8.3 J/min (6.6-10.2) in patients with and without PRF respectively. A higher MP dur...
A higher intensity of OLV, mainly driven by driving pressure, is dose-dependently associated with PRF and might constitute a target for mechanical ventilation....
One-lung ventilation is indicated during thoracic surgery for visualization and exposure of surgical site. It is achieved with bronchial blockers, double-lumen endobronchial tube, single-lumen endotra...
To compare the quality of lung collapse, time, and number of attempts required to achieve lung isolation, and incidence of intraoperative malpositioning between the EZ blocker (EZB), Fuji Uniblocker (...
Prospective, randomized clinical trial....
Single tertiary-level, university-affiliated hospital....
Eighty-nine patients undergoing elective open thoracotomies or video-assisted thoracoscopic surgery....
The 89 patients were randomized to receive a DLT, UB, or EZB for one-lung ventilation....
The quality of lung collapse at the time of pleural opening and 10 and 20 minutes thereafter were assessed by the surgeon using the Lung Collapse Score (LCS; 0 = no lung collapse to 10 = best lung col...
The LCS was comparable among the 3 devices until 20 minutes after pleural opening, when better scores were obtained in the bronchial blocker groups. Lung isolation was achieved fastest with the DLT. T...
Hypoxic pulmonary vasoconstriction is the most important regulatory mechanism by which right-to-left shunts decrease during one-lung ventilation (OLV), but the effects of pulmonary microarterial throm...
A total of 80 patients who underwent elective thoracoscopic partial lung resection and were classified as American Society of Anaesthesiologists (ASA) grades I-II were selected and divided into 4 grou...
Qs/Qt at TLV was significantly higher in Groups B and C than in Group A (P < 0.05), and PaO...
SARS-CoV-2 infection increased intrapulmonary shunt and reduced oxygenation. Although oxygenation improved at TLV after 13-16 weeks of infection, intrapulmonary shunt and oxygenation under OLV took lo...
Chinese Clinical Trial Registry, Retrospectively registered, Full date of first registration: 17/05/2023, Registration number: ChiCTR2300071539....
The role of mechanical power on pulmonary outcomes after thoracic surgery with one-lung ventilation was unclear. We investigated the association between mechanical power and postoperative pulmonary co...
In this single-center, prospective observational study, 622 patients scheduled for thoracoscopic lung resection surgery were included. Volume control mode with lung protective ventilation strategies w...
The incidence of pulmonary complications after surgery during hospital stay was 24.6% (150 of 609 patients). The multivariable analysis showed that there was no link between mechanical power and posto...
In patients undergoing thoracoscopic lung resection with standardized lung-protective ventilation, no association was found between mechanical power and postoperative pulmonary complications....
Trial registration number: ChiCTR2200058528, date of registration: April 10, 2022....
The effect of hypercarbia on lung oxygenation during thoracic surgery remains unclear....
To investigate the effect of hypercarbia on lung oxygenation during one-lung ventilation in patients undergoing thoracic surgery and evaluate the incidence of postoperative pulmonary complications....
Prospective randomised controlled trial....
A tertiary university hospital in the Republic of Korea from November 2019 to December 2020....
Two hundred and ninety-seven patients with American Society of Anaesthesiologists physical status II to III, scheduled to undergo elective lung resection surgery....
Patients were randomly assigned to Group 40, 50, or 60. An autoflow ventilation mode with a lung protective ventilation strategy was applied to all patients. Respiratory rate was adjusted to maintain ...
The primary outcome was the arterial oxygen partial pressure/fractional inspired oxygen ratio after 60 min of one-lung ventilation....
Data from 262 patients were analysed. The partial pressure/fractional inspired oxygen ratio was significantly higher in Group 50 and Group 60 than in Group 40 (269.4 vs. 262.9 vs. 214.4; P < 0.001) bu...
Permissive hypercarbia improved lung oxygenation during one-lung ventilation without increasing the risk of postoperative pulmonary complications or the length of hospital stay....
NCT04175379....
We aimed to investigate the association between the Oxygen Reserve index (ORi) and arterial partial pressure of oxygen (PaO...
This retrospective study assessed the eligibility of 578 adult patients who underwent elective non-cardiac thoracic surgery requiring one-lung ventilation at a tertiary hospital, and their electronic ...
Total of 554 patient were included in the analysis. The ORi value measured 15 min after the start of one-lung ventilation was significantly associated with PaO...
This study suggested that ORi could provide useful information on arterial oxygenation even during one-lung ventilation for non-cardiac thoracic surgery....
