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The Journal of Thoracic and Cardiovascular Surgery, Vol 105, 229-233, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Differential lung ventilation. Applications beyond the operating room

R Adoumie, H Shennib, R Brown, P Slinger and RC Chiu
Joint Marseille-Montreal Lung Transplant Program, Montreal General Hospital, Quebec, Canada.

Mechanical ventilatory support in the setting of unilateral lung disease offers unique problems in management. When the difference in airway resistance or lung compliance between the two lungs is exaggerated, conventional mechanical ventilation might lead to preferential ventilation with hyperexpansion of one lung and gradual collapse of the other. Differential ventilation has been advocated to avert this problem. We illustrate the use of this technique in the management of two patients with different underlying pathologic conditions.

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