![APPLICATION OF ONE-LUNG HIGH FREQUENCY JET VENTILATION IN LUNG SURGERY
M. Kontorovich, S. Skornyakov, I. Medvinsky, I. Motus, D. Eremeev
Ural Research Institute for Phthiziopulmonology
Introduction
Introduction Results
This template, which we hope you will find useful, has a format of 91 cm w x 122 cm h (portrait/vertical-shape). It can be used to create your E-poster, as
well as the presentformat corresponds to Arch E.
In for printing. This day, one-lung jet ventilation is applied in case of a necessity to isolate the In comparison of OHFJV to OCMV, the results of the study demonstrated a
healthy lung duringthe usual , basic sections that are usually available on posters. You are welcome to make any changes you wish. or suggest
We have put on this template operations involving abscedation, occurrence of fluid buildings, cysts We
decrease of: PIP by 26.5%; Pes by 81.6%; PVR by 41.7%, an
you use keep black text against a light background sooperated to read. (1,2).
retrostenosis pneumonitis in the that it is easy lung increase of: PaO2 by 66.1%; CI by 1.0%; CVP by 28.3% and
The boxes around the text will automatically fit the text you type, and if you click on the text, you can use the little handles that appear to stretch or maintaining of normal = 7.42 and 舒弌2 = 36.5 mm Hg.
squeeze the text boxes to whatever size you want. If you need just a little endotra-heal type, go to format-line spacing and reduce it to 90 or even
Apart from complications linked to usage of more room for your tubes, accompanying symptoms of
85%.
convective one-lung ventilation include considerably decreased diffusion in surface area, sharp
The dotted lines through the center of the piece will not print, theyblood circulation, increase in transpulmonary them, and a little
increase in intrapulmonary arteriovenous are for alignment. You can move them around by clicking and holding pressure,
box will tell you where they are on the page. Use them to get your pictures or text boxes aligned together.
decrease in venous return and cardiac output, increase in amount of extravascular lung water
(3,5).
How to bring things in from Excel速 and Word速
Excel- select the chart, hit edit-copy, and then edit-paste into PowerPoint速. The chart can then be stretched to fit as required. If you need to edit parts of
the All this can lead to decrease in oxygenation of arterial which PowerPoint will not recognize an used font and may print
chart, it can be ungrouped. Watch out for scientific symbols used in imported charts, blood, development of as a uncorrectable
improperly if we dont have the font installed on our system. It is best to use the Symbol font for scientific characters.
hypoxia, disorders of central hemodynamics and development of post-surgery complications
(4,5,6).
Word- select the text to be brought into PowerPoint, hit edit-copy, then edit-paste the text into a new or existing text block. This text is editable. You can
change the size, color, etc. in format-text. We suggest you not put shadows on smaller text. Stick with Arial and Times New Roman fonts so your
collaborators will have them.
At the same time, a number of authors consider application of high frequency jet ventilation CMV OCMV OHFJV CMV OCMV OHFJV
Scans CMV OCMV OHFJV
during lung surgeries to be without any alternative (1,2,5).
We need images to be 72 to 100 dpi in their final size, or use a rule of thumb of 2 to 4 megabytes of uncompressed .tif file per square foot of image. For
instance, a 3x5 photo that will be 6x10 in size on the final poster should be scanned at 200 dpi.
HFJV of both lungs ensures excellent oxygenation of arterial blood, keeps the lungs in a
We prefer that you import tif or jpg images into PowerPoint. Generally, if you double click on an image to open it in venous return andit tells
relaxed state without execution of a recruitment maneuver and increases Microsoft Photo Editor, and
you the image is too large, then it is too large for PowerPoint to handle too. We find that images 1200x1600 pixels or smaller work very well. Very large
cardiac show on your screen but PowerPointworkloadthem.the left ventricle (2,6,7).
images may output by lowering the cannot print of
Preview: To see your in poster in actual size, go to view-zoom-100%. Posters to be printed at 200% need to be viewed at 200%.
CMV OCMV OHFJV CMV OCMV OHFJV CMV OCMV OHFJV
Methods
Three groups consisting of 50 patients who under-went lung surgery during which two-lungs
conventional mechanical ventilation (CMV), one-lung conventional mechanical ventilation (OCMV) and
one-lung high frequency jet ventilation (OHFJV) were applied, were compared in terms of gas exchange
Conclusions
and hemodynamics parameters. Under conditions of OHFJV, even a complete atelectasis of one lung does not
Artificial ventilation was applied through a single-lumen endotracheal tube located in the main go along with a considerable disorder of gas exchange in contrast to OCMV.
bronchus of the healthy lung. In case of necessity of left main bronchus intubation, a correcting triple
maneuver was executed. Usage of standard single-lumen endotracheal tubes ensured a good isolation of
the healthy lung, facileness of sanitation and bronchoscopic control of the location of the tube.
This enabled a wider application of this kind of ventilation for lung surgeries on
patients with distinct gas exchange and hemodynamics disorders.
1
Bibliography
K.Wiedemann, C.Mannle, M.Layer. Jet ventilation in thoracic surgery. / Anasthesiologie & Intensivmedizin.-2002.-43.-p. 527.
2 .. 亳仍亳仆, .. 仂仆仂仂于亳, .. 丼亳磻仂于. 仂从仂舒仂仆舒 亶仆舒 亳从于亠仆仆舒 于亠仆亳仍亳 仍亞从亳 / 从舒亠-亳仆弍亞, 2010.-311 .
3 P.F.Allan, E.C.Osborn, K.K.Chung [et al.]. High-frequency percus-sive ventilation revisited. / J.Burn Care Res.-2010, Jul-Aug.- 31(4).-.510-520.
4 L.Blanch, J.Villar, J.L坦pez-Aguilar. High-frequency percussive ventilation - an old mode with a great future. / Crit.Care Med.-2009, May.-37(5).- .1810-1811
5 ..舒亳仍, ..亢亳亞亳仆舒, .弌.亠从亳仆. 从于亠仆仆舒 亳 于仗仂仄仂亞舒亠仍仆舒 于亠仆亳仍亳 仍亞从亳 / .: 亠亟亳亳仆舒, 2004.- 479.
6 H.Misiolek, P.Knapik, J.Swanevelder [et al.]. Comparison of double-lung jet ventilation and one-lung ventilation for thoracotomy / Euro-pean Journal of Anaesthesiology.-2008,
Jan.-V.25.- Issue 1.-p.15-21.
7 H.Misiolek, P.Knapik, H.Kucia [et al.]. Haemodynamics, gas exchange and surgical conditions during bilateral high frequency jet ventila-tion in lung surgery / European Journal of
Anaesthesiology.-2006, June-V.23.-Issue 7.-p.75.](https://image.slidesharecdn.com/onelunghfjvyekaterinburg-120915022626-phpapp02/85/One-lung-hfjv_yekaterinburg-1-320.jpg)
One lung hfjv_yekaterinburg
- 1. APPLICATION OF ONE-LUNG HIGH FREQUENCY JET VENTILATION IN LUNG SURGERY M. Kontorovich, S. Skornyakov, I. Medvinsky, I. Motus, D. Eremeev Ural Research Institute for Phthiziopulmonology Introduction Introduction Results This template, which we hope you will find useful, has a format of 91 cm w x 122 cm h (portrait/vertical-shape). It can be used to create your E-poster, as well as the presentformat corresponds to Arch E. In for printing. This day, one-lung jet ventilation is applied in case of a necessity to isolate the In comparison of OHFJV to OCMV, the results of the study demonstrated a healthy lung duringthe usual , basic sections that are usually available on posters. You are welcome to make any changes you wish. or suggest We have put on this template operations involving abscedation, occurrence of fluid buildings, cysts We decrease of: PIP by 26.5%; Pes by 81.6%; PVR by 41.7%, an you use keep black text against a light background sooperated to read. (1,2). retrostenosis pneumonitis in the that it is easy lung increase of: PaO2 by 66.1%; CI by 1.0%; CVP by 28.3% and The boxes around the text will automatically fit the text you type, and if you click on the text, you can use the little handles that appear to stretch or maintaining of normal = 7.42 and 舒弌2 = 36.5 mm Hg. squeeze the text boxes to whatever size you want. If you need just a little endotra-heal type, go to format-line spacing and reduce it to 90 or even Apart from complications linked to usage of more room for your tubes, accompanying symptoms of 85%. convective one-lung ventilation include considerably decreased diffusion in surface area, sharp The dotted lines through the center of the piece will not print, theyblood circulation, increase in transpulmonary them, and a little increase in intrapulmonary arteriovenous are for alignment. You can move them around by clicking and holding pressure, box will tell you where they are on the page. Use them to get your pictures or text boxes aligned together. decrease in venous return and cardiac output, increase in amount of extravascular lung water (3,5). How to bring things in from Excel速 and Word速 Excel- select the chart, hit edit-copy, and then edit-paste into PowerPoint速. The chart can then be stretched to fit as required. If you need to edit parts of the All this can lead to decrease in oxygenation of arterial which PowerPoint will not recognize an used font and may print chart, it can be ungrouped. Watch out for scientific symbols used in imported charts, blood, development of as a uncorrectable improperly if we dont have the font installed on our system. It is best to use the Symbol font for scientific characters. hypoxia, disorders of central hemodynamics and development of post-surgery complications (4,5,6). Word- select the text to be brought into PowerPoint, hit edit-copy, then edit-paste the text into a new or existing text block. This text is editable. You can change the size, color, etc. in format-text. We suggest you not put shadows on smaller text. Stick with Arial and Times New Roman fonts so your collaborators will have them. At the same time, a number of authors consider application of high frequency jet ventilation CMV OCMV OHFJV CMV OCMV OHFJV Scans CMV OCMV OHFJV during lung surgeries to be without any alternative (1,2,5). We need images to be 72 to 100 dpi in their final size, or use a rule of thumb of 2 to 4 megabytes of uncompressed .tif file per square foot of image. For instance, a 3x5 photo that will be 6x10 in size on the final poster should be scanned at 200 dpi. HFJV of both lungs ensures excellent oxygenation of arterial blood, keeps the lungs in a We prefer that you import tif or jpg images into PowerPoint. Generally, if you double click on an image to open it in venous return andit tells relaxed state without execution of a recruitment maneuver and increases Microsoft Photo Editor, and you the image is too large, then it is too large for PowerPoint to handle too. We find that images 1200x1600 pixels or smaller work very well. Very large cardiac show on your screen but PowerPointworkloadthem.the left ventricle (2,6,7). images may output by lowering the cannot print of Preview: To see your in poster in actual size, go to view-zoom-100%. Posters to be printed at 200% need to be viewed at 200%. CMV OCMV OHFJV CMV OCMV OHFJV CMV OCMV OHFJV Methods Three groups consisting of 50 patients who under-went lung surgery during which two-lungs conventional mechanical ventilation (CMV), one-lung conventional mechanical ventilation (OCMV) and one-lung high frequency jet ventilation (OHFJV) were applied, were compared in terms of gas exchange Conclusions and hemodynamics parameters. Under conditions of OHFJV, even a complete atelectasis of one lung does not Artificial ventilation was applied through a single-lumen endotracheal tube located in the main go along with a considerable disorder of gas exchange in contrast to OCMV. bronchus of the healthy lung. In case of necessity of left main bronchus intubation, a correcting triple maneuver was executed. Usage of standard single-lumen endotracheal tubes ensured a good isolation of the healthy lung, facileness of sanitation and bronchoscopic control of the location of the tube. This enabled a wider application of this kind of ventilation for lung surgeries on patients with distinct gas exchange and hemodynamics disorders. 1 Bibliography K.Wiedemann, C.Mannle, M.Layer. Jet ventilation in thoracic surgery. / Anasthesiologie & Intensivmedizin.-2002.-43.-p. 527. 2 .. 亳仍亳仆, .. 仂仆仂仂于亳, .. 丼亳磻仂于. 仂从仂舒仂仆舒 亶仆舒 亳从于亠仆仆舒 于亠仆亳仍亳 仍亞从亳 / 从舒亠-亳仆弍亞, 2010.-311 . 3 P.F.Allan, E.C.Osborn, K.K.Chung [et al.]. High-frequency percus-sive ventilation revisited. / J.Burn Care Res.-2010, Jul-Aug.- 31(4).-.510-520. 4 L.Blanch, J.Villar, J.L坦pez-Aguilar. High-frequency percussive ventilation - an old mode with a great future. / Crit.Care Med.-2009, May.-37(5).- .1810-1811 5 ..舒亳仍, ..亢亳亞亳仆舒, .弌.亠从亳仆. 从于亠仆仆舒 亳 于仗仂仄仂亞舒亠仍仆舒 于亠仆亳仍亳 仍亞从亳 / .: 亠亟亳亳仆舒, 2004.- 479. 6 H.Misiolek, P.Knapik, J.Swanevelder [et al.]. Comparison of double-lung jet ventilation and one-lung ventilation for thoracotomy / Euro-pean Journal of Anaesthesiology.-2008, Jan.-V.25.- Issue 1.-p.15-21. 7 H.Misiolek, P.Knapik, H.Kucia [et al.]. Haemodynamics, gas exchange and surgical conditions during bilateral high frequency jet ventila-tion in lung surgery / European Journal of Anaesthesiology.-2006, June-V.23.-Issue 7.-p.75.