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Oxygenation and Ventilation Strategies for Patients Undergoing Lung Resection Surgery After Prior Lobectomy or Pneumonectomy

  • Thoracic Anesthesia (T Schilling, Section Editor)
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Abstract

Lung resection surgery after a prior lobectomy or pneumonectomy is becoming more prevalent. Elevated shunt fractions and reduced functional lung parenchyma complicate one-lung ventilation in the patient with a prior contralateral lobectomy. Meanwhile, lung resection after pneumonectomy requires reliance on the solitary, surgical lung for adequate oxygenation and ventilation without impeding surgical progress. These challenges require appropriate preoperative investigations and planning to facilitate a technique that balances the need for adequate gas exchange and lung injury prevention with the desire for sufficient exposure to allow for a complete surgical resection and optimal oncologic outcomes.

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  1. Department of Anesthesiology, Pharmacology and Therapeutics, Vancouver General Hospital, University of British Columbia, JPP2 Room 2449, 899 West 12th Avenue, Vancouver, BC, V5Z 1M9, Canada

    Chris Durkin & Jens Lohser

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Correspondence to Jens Lohser.

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This article is part of the Topical Collection on Thoracic Anesthesia.

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Durkin, C., Lohser, J. Oxygenation and Ventilation Strategies for Patients Undergoing Lung Resection Surgery After Prior Lobectomy or Pneumonectomy. Curr Anesthesiol Rep 6, 135–141 (2016). https://doi.org/10.1007/s40140-016-0153-x

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