Haas S, Kiefmann R, Eichhorn V, Goetz A E, Reuter D A
Klinik und Poliklinik für Anästhesiologie, Zentrum für Anästhesiologie und Intensivmedizin, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.
Anaesthesist. 2009 Nov;58(11):1085-96. doi: 10.1007/s00101-009-1632-y.
One-lung ventilation causes adverse effects in pulmonary gas exchange and cardiocirculatory function. These adverse effects become particularly important for patients with underlying cardiopulmonary comorbidities. Alterations in pulmonary gas exchange have been investigated in several experimental and clinical trials. However, the hemodynamic consequences of one-lung ventilation are to a great extent unknown. Furthermore, no conclusive recommendations exist as to which kind of hemodynamic monitoring should be preferred in the situation of one-lung ventilation. Many issues regarding hemodynamic monitoring in one-lung ventilation remain unacknowledged. This article will review the current literature on hemodynamic monitoring in one-lung ventilation in order to derive recommendations for the application of hemodynamic monitoring in this specific peri-operative situation.
单肺通气会对肺气体交换和心肺循环功能产生不良影响。对于有潜在心肺合并症的患者而言，这些不良影响尤为重要。在多项实验和临床试验中已对肺气体交换的改变进行了研究。然而，单肺通气对血流动力学的影响在很大程度上尚不清楚。此外，对于在单肺通气情况下应首选哪种血流动力学监测方法，尚无定论。关于单肺通气时血流动力学监测的许多问题仍未得到认识。本文将综述当前关于单肺通气时血流动力学监测的文献，以便得出在这一特定围手术期情况下应用血流动力学监测的建议。
