Treatment of acute unilateral lung disease with differential lung intubation followed by asynchronous independent lung ventilation

1994 ◽  
Vol 8 (4) ◽  
Author(s):  
Natan Weksler ◽  
Miguel Iuchtman ◽  
Anatol Stav ◽  
Leon Ovadia
2006 ◽  
Vol 72 (6) ◽  
pp. 530-533 ◽  
Author(s):  
Michael L. Cheatham ◽  
John T. Promes

Independent lung ventilation (ILV) is a technique for managing patients with unilateral lung disease or injury who have failed conventional mechanical ventilation. A 20-year-old man sustained severe ballistic injuries to the chest and abdomen. Damage control laparotomy controlled the patient's initial hemorrhage, however, an evolving cavitary pulmonary lesion subsequently developed into a high-volume bronchopleural fistula. Progressive atelectasis of the damaged lung resulted in profound hypoxemia and hypercarbia refractory to conventional mechanical ventilation. Synchronous ILV was initiated using a double-lumen endotracheal tube and two ventilators titrated to optimize the patient's oxygenation and ventilation and minimize ventilator-induced lung injury. Intensive ILV over the next 17 days resulted in recruitment of the atelectatic right lung, resolution of the bronchopleural fistula, and significant improvement in oxygenation and pulmonary compliance. This appears to be the longest reported use of ILV for traumatic lung injury.


2009 ◽  
Vol 22 (1) ◽  
pp. 52-53
Author(s):  
Ayla Yava ◽  
Aynur Koyuncu ◽  
Faruk Cingöz ◽  
Ufuk Demirkiliç ◽  
Harun Tatar MD

1977 ◽  
Vol 71 ◽  
pp. 7-18 ◽  
Author(s):  
S. Godfrey ◽  
G. Hambleton ◽  
P. Winlove ◽  
Nanette Freedman

Heart & Lung ◽  
2016 ◽  
Vol 45 (3) ◽  
pp. 258-260 ◽  
Author(s):  
Jasmit S. Minhas ◽  
Kyle Halligan ◽  
James M. Dargin

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