Which of the following is the best method during operative one lung ventilation to decrease the incidence of post-op acute lung injury?
A. Ensure tidal volume of 8 to 10 mL/kg ideal body weight (IBW) to prevent atelectasis in the ventilated lung and to ensure adequate oxygenation Wrong Choice!
B. Maintain 100% FiO2<?sub> throughout one lung ventilation to avoid hypoxia and hypoxic vasoconstriction Wrong Choice!
C. Avoid the use of PEEP in the ventilated lung to allow the use of higher tidal volume ventilation while reducing the risk of barotrauma Wrong Choice!
D. Ensure tidal volume of 4 to 6 mL/kg IBW combined with 5 to 10 cm H2O PEEP to reduce overdistention of the ventilated single lung and maintain adequate oxygenation Correct Choice
Answer:D
Which of the following is the best method during operative one lung ventilation to decrease the incidence of post-op acute lung injury?
A. Ensure tidal volume of 8 to 10 mL/kg ideal body weight (IBW) to prevent atelectasis in the ventilated lung and to ensure adequate oxygenation Wrong Choice! B. Maintain 100% FiO2<?sub> throughout one lung ventilation to avoid hypoxia and hypoxic vasoconstriction Wrong Choice! C. Avoid the use of PEEP in the ventilated lung to allow the use of higher tidal volume ventilation while reducing the risk of barotrauma Wrong Choice! D. Ensure tidal volume of 4 to 6 mL/kg IBW combined with 5 to 10 cm H2O PEEP to reduce overdistention of the ventilated single lung and maintain adequate oxygenation Correct Choice