Ventilatory Protective Strategies during Thoracic Surgery Effects of Alveolar Recruitment Maneuver and Low-tidal Volume Ventilation on Lung Density Distribution

KOZIAN A., SCHILLING T., SCHUETZE H., Senturk M., HACHENBERG T., HEDENSTIERNA G.

ANESTHESIOLOGY, vol.114, no.5, pp.1025-1035, 2011 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 114 Issue: 5
  • Publication Date: 2011
  • Doi Number: 10.1097/aln.0b013e3182164356
  • Journal Name: ANESTHESIOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1025-1035
  • Istanbul University Affiliated: Yes

Abstract

Background: The increased tidal volume (V-T) applied to the ventilated lung during one-lung ventilation (OLV) enhances cyclic alveolar recruitment and mechanical stress. It is unknown whether alveolar recruitment maneuvers (ARMs) and reduced V-T may influence tidal recruitment and lung density. Therefore, the effects of ARM and OLV with different V-T on pulmonary gas/tissue distribution are examined.