Inhaled epoprostenol during one-lung ventilation

Ann Thorac Surg. 2010 Mar;89(3):981-3. doi: 10.1016/j.athoracsur.2009.07.059.

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.

Publication types

  • Case Reports

MeSH terms

  • Administration, Inhalation
  • Biopsy*
  • Epoprostenol / administration & dosage*
  • Humans
  • Infusions, Intravenous
  • Lung / pathology*
  • Lung Diseases, Interstitial / diagnosis
  • Male
  • Middle Aged
  • Nebulizers and Vaporizers
  • Phenylephrine / administration & dosage
  • Pulmonary Circulation / drug effects
  • Respiration, Artificial / methods*
  • Thoracic Surgery, Video-Assisted*
  • Vasodilator Agents / administration & dosage*

Substances

  • Vasodilator Agents
  • Phenylephrine
  • Epoprostenol