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British Journal of Anaesthesia, 2003, Vol. 91, No. 1 153-154
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Correspondence

Acute lung injury following one-lung anaesthesia

J. Pfitzer1, S. Ishikawa2, K. Nakazawa2 and K. Makita2

1 Adelaide, Australia 2 Tokyo, Japan

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Editor—In the interesting and extensively referenced report by Ishikawa, Nakazawa and Makita,1 compression and kinking of pulmonary vessels is the suggested mechanism underlying the impressive improvement in oxygenation following surgical compression/retraction of the non-ventilated lung during right thoracotomy. However, before anaesthetists are tempted to consider compression of the non-ventilated lung as a possibly acceptable manoeuvre ‘if hypoxaemia occurs in the early stage of one-lung ventilation’, at least two questions need to be addressed. First, does avoiding or . . . [Full Text of this Article]


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