Pressure-Controlled Versus Volume-Controlled Ventilation During One-Lung Ventilation for Thoracic Surgery

@article{Unzueta2007PressureControlledVV,
  title={Pressure-Controlled Versus Volume-Controlled Ventilation During One-Lung Ventilation for Thoracic Surgery},
  author={Ma.C Unzueta and J Ignacio Casas and Mar{\'i}a Victoria Moral},
  journal={Anesthesia \& Analgesia},
  year={2007},
  volume={104},
  pages={1029-1033}
}
BACKGROUND: Pressure-controlled ventilation (PCV) has been suggested as a tool to improve oxygenation during one-lung ventilation (OLV) for patients undergoing thoracic surgery. In this study we investigated whether PCV results in improved arterial oxygenation compared with volume-controlled ventilation (VCV) during OLV. METHODS: Fifty-eight patients with good preoperative pulmonary function scheduled for thoracic surgery were prospectively randomized into two groups. Those in group A underwent… 

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Pressure-controlled versus volume-controlled ventilation during one-lung ventilation in elderly patients with poor pulmonary function
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In patients undergoing thoracic surgery, the use of PCV compared with VCV during OLV with the same Vt of 8 mL/kg does not affect arterial oxygenation during OLv or early postoperative oxygenation.
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The use to PCV-VG ventilation mode in one-lung ventilation resulted in a significant decrease in peak airway pressure, however, it did not increase intraand postoperative oxygenation or reduce complications.
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TLDR
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TLDR
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Intraoperative Ventilation Strategies for Thoracic Surgery
  • J. Macpherson
  • Medicine
    Principles and Practice of Anesthesia for Thoracic Surgery
  • 2019
TLDR
Based on this recent data, the use of low tidal volumes and inflation pressures during OLV is appropriate as long as high breathing frequencies are not required and permissive hypercapnia is not contraindicated.
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