Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Independent lung ventilation in critical care. | Critical Care December 2005 Vol 9 No 6 Anantham et al. Review Clinical review Independent lung ventilation in critical care Devanand Anantham1 Raghuram Jagadesan2 and Philip Eng Cher Tiew3 Specialist Registrar Respiratory and Critical Care Medicine Singapore General Hospital Outram Road Singapore 169608 2Senior Consultant Respiratory and Critical Care Medicine Singapore General Hospital Outram Road Singapore 169608 3Associate Professor and Head of Department Respiratory and Critical Care Medicine Singapore General Hospital Outram Road Singapore 169608 Corresponding author Devanand Anantham Published online 10 October 2005 This article is online at http content 9Z6 594 2005 BioMed Central Ltd Critical Care 2005 9 594-600 DOI cc3827 Abstract Independent lung ventilation ILV can be classified into anatomical and physiological lung separation. It requires either endobronchial blockade or double-lumen endotracheal tube intubation. Endobronchial blockade or selective double-lumen tube ventilation may necessitate temporary one lung ventilation. Anatomical lung separation isolates a diseased lung from contaminating the nondiseased lung. Physiological lung separation ventilates each lung as an independent unit. There are some clear indications for ILV as a primary intervention and as a rescue ventilator strategy in both anatomical and physiological lung separation. Potential pitfalls are related to establishing and maintaining lung isolation. Nevertheless ILV can be used in the intensive care setting safely with a good understanding of its limitations and potential complications. Introduction Indications for independent lung ventilation ILV in critical care medicine are poorly defined compared to their use in thoracic anaesthesia. Although first described in anaesthetic practice in 1931 it was only in 1976 that ILV was reported in an intensive care setting 1 2 . Specific primary indications such as whole lung lavage 3
