Abstract
We used inhaled epoprostenol (with intravenous phenylephrine) during one-lung ventilation to improve oxygenation in a patient with severe interstitial lung disease undergoing video-assisted thoracoscopic surgery. The pharmacologic manipulation of pulmonary blood flow remains an underused strategy for the management of hypoxemia during one-lung ventilation.
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
MeSH terms
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Administration, Inhalation
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Biopsy*
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Epoprostenol / administration & dosage*
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Humans
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Infusions, Intravenous
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Lung / pathology*
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Lung Diseases, Interstitial / diagnosis
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Male
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Middle Aged
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Nebulizers and Vaporizers
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Phenylephrine / administration & dosage
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Pulmonary Circulation / drug effects
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Respiration, Artificial / methods*
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Thoracic Surgery, Video-Assisted*
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Vasodilator Agents / administration & dosage*
Substances
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Vasodilator Agents
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Phenylephrine
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Epoprostenol