Ventilator settings and arterial blood gases during video-assisted thoracoscopic surgery including pneumonectomy with pressure support ventilation

Contralateral Pneumonectomy 27 Years After Right Single-Lung Transplantation for Emphysema: A Case Report

“…On the grafted right lung, an open protective ventilatory strategy was applied, including low V T , titrated PEEP, and alveolar recruitment maneuver to minimize ventilation-induced lung injury [ 18 ]. Interestingly, Friedrich et al recently reported their unique experience using laryngeal masks and providing assisted ventilation in 20 patients undergoing anatomical lung resection, including 1 pneumonectomy- via video-assisted thoracoscopic surgery [ 19 ]. Compared with controlled mechanical ventilation, assisted spontaneous breathing can lower the risk of ventilatory-lung injuries by reducing inspiratory support pressure, ensuring stable hemodynamics by improving venous return and facilitating postoperative recovery by reducing the need for neuromuscular-blocking drugs.…”