Independent lung ventilation as a protective strategy in unilateral lung disease in children

• Autorzy: Luchetti M. , Marraro G. A. , Galassini E. M.
• Języki publikacji: EN

Abstrakty

EN

Independent Lung Ventilation (ILV) may be viewed as a lung protective ventilation strategy, since it avoids the overinflation of the healthy lung and allows adequate ventilation of the diseased lung. The aim of this paper is to provide a review of ILV as a protective strategy for the treatment of pediatric respiratory failure due to unilateral lung disease. An analysis of the literature regarding ventilator-associated lung injury, pathophysiology of unilateral lung disease and the efficacy of independent lung ventilation in the pediatric population was carried out. After an overview of unilateral lung disease and initial experience with ILV, the following topical areas are addressed: technique of selective bronchial intubation, mechanical ventilation and ventilator setting, and speculations about the future. Unilateral lung diseases can be treated successfully using SILV. In addition, SILV allows to selectively instilling into the lung medications such as surfactant. Despite its attractive characteristics, ILV has some drawbacks that still limit its use. Investigation in under way trying to simplify the technique and make it more accessible.

Słowa kluczowe

EN

independent lung ventilation; synchronized independent lung ventilation; mechanical ventilation; differential ventilation; pediatrics; children; respiratory failure; unilateral lung disease; selective bronchial intubation; double-lumen tube; bilumen tube

PL

wentylacja płuc; wentylacja mechaniczna; pediatria; niewydolność oddechowa

• Wydawca: Nałęcz Institute of Biocybernetics and Biomedical Engineering of the Polish Academy of Sciences ; Elsevier
• Czasopismo: Biocybernetics and Biomedical Engineering
• Rocznik: 2003
• Tom: Vol. 23, no. 2
• Strony: 77--87
• Opis fizyczny: Bibliogr. 22 poz., rys., wykr.

Twórcy

autor

Luchetti M.

• Departament of Anesthesia & Intensive Care, Pediatric Intensive Care Unit, "Fatebenefratelli" & Ophtalmiatric Hospital, Milano, Italy

autor

Marraro G. A.

• Departament of Anesthesia & Intensive Care, Pediatric Intensive Care Unit, "Fatebenefratelli" & Ophtalmiatric Hospital, Milano, Italy

autor

Galassini E. M.

• Departament of Anesthesia & Intensive Care, Pediatric Intensive Care Unit, "Fatebenefratelli" & Ophtalmiatric Hospital, Milano, Italy

Bibliografia

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