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Ann Thorac Surg 2003;75:635-636
© 2003 The Society of Thoracic Surgeons


Correspondence

Alveolar recruitment during one-lung ventilation—really "one" lung?: Reply

Gerardo Tusman, MDa, Fernando Melkun, MDa, Daniel Staltari, MDa, Carlos Quinzio, MDa, Carlos Nador, MDa, Elsio Turchetto, MDa, Stephan H. Böhm, MS, Dr medb

a Department of Anesthesiology, Hospital Privado de Communidad, Cordoba 4545, 7600 Mar del Plata, Argentina
b Department of Anesthesiology, University Clinic Hamburg–Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany

e-mail: gtusman@hotmail.com
e-mail: shb@tomedix.com

The first 20% of the full text of this article appears below.

To the Editor:

We appreciate the interesting remarks of Drs entürk and Turul concerning our report [1]. We will address a few issues.

First, a "pneumatic" maneuver was done after lobectomy to evaluate the bronchial sutures of the nondependent lung. This maneuver is performed after all lobectomies in our hospital as part of the routine surgical protocol irrespective of the use of an alveolar recruitment strategy (ARS). For study purposes (as opposed to the clinical routine), we used the ARS as a "pneumatic" maneuver, as pointed out in the Protocol section of our study [1]. Following the protocol design, we performed the ARS during one-lung ventilation (OLV) to compare its effects on arterial oxygenation under similar conditions before and after . . . [Full Text of this Article]







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