Qian Liu#, Yu Zhou#, Xiaoyu Wang and Xiaoping Gu*
Department of Anesthesiology, The Affiliated Hospital of Nanjing University Medical School, ChinaFulltext PDF
Background: In thoracic surgery, One Lung Ventilation (OLV) is a common technique to maintain ventilation and oxygenation. Hypoxemia during OLV is not rare, and if not detected in time or handled improperly, it may cause serious consequences and threaten the life of the patient. In the perioperative period, various factors including surgery, anesthesia and patients themselves may lead to the occurrence of hypoxemia during OLV. How to prevent and reduce the occurrence of hypoxemia in patients with OLV is a concern of anesthesiologists during the perioperative period. Methods: A case report study with analysis. Results: We report a case of hypoxemia during OLV in an elderly patient who underwent videoassisted thoracoscopic wedge resection of a mass in the left upper lung plus lymphatic dissection, which was successfully corrected by associated anesthesia management measures. Conclusion: Hypoxemia during one-lung ventilation is not uncommon. For patients requiring one-lung ventilation during the operation, the anesthesiologist shall fully evaluate the patient's condition, and formulate a reasonable anesthesia plan according to some predictors of hypoxemia, so as to prevent or reduce the incidence of hypoxemia during one-lung ventilation and ensure the safety of the patient's life.
Liu Q, Zhou Y, Wang X, Gu X. A Case of Hypoxemia Occurred During OneLung Ventilation. Ann Clin Case Rep. 2020; 5: 1826.