EIT Observed Hypoxemia Caused by V/Q Mismatch During One‐Lung Ventilation With Indocyanine Green Inhalation: A Report of Two Cases

ABSTRACT Nebulization under one‐lung ventilation (OLV) can facilitate precise localisation of pulmonary tumours and assist in surgical manipulation. However, hypoxaemia during the nebulization process remains a challenging issue. In this report, we present two cases monitored using Electrical Impeda...

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Main Authors: Xiaoyan Li, Maokun Li, Jian Zhou, Yi Feng, Ke Zhang, Haiyan Xu, Zhenfan Wang, Xue Tian
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.70154
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author Xiaoyan Li
Maokun Li
Jian Zhou
Yi Feng
Ke Zhang
Haiyan Xu
Zhenfan Wang
Xue Tian
author_facet Xiaoyan Li
Maokun Li
Jian Zhou
Yi Feng
Ke Zhang
Haiyan Xu
Zhenfan Wang
Xue Tian
author_sort Xiaoyan Li
collection DOAJ
description ABSTRACT Nebulization under one‐lung ventilation (OLV) can facilitate precise localisation of pulmonary tumours and assist in surgical manipulation. However, hypoxaemia during the nebulization process remains a challenging issue. In this report, we present two cases monitored using Electrical Impedance Tomography (EIT), where individual differences in pulmonary blood flow redistribution contributed to hypoxaemia. This phenomenon was further exacerbated in the lateral decubitus position with the ventilated lung in the upper position. EIT provided real‐time insights into ventilation‐perfusion (V/Q) distribution, offering valuable guidance for managing hypoxaemia during nebulization and surgery under OLV.
format Article
id doaj-art-e3e27a8cc73e4a1ea96626c4c92a1411
institution Kabale University
issn 2051-3380
language English
publishDate 2025-04-01
publisher Wiley
record_format Article
series Respirology Case Reports
spelling doaj-art-e3e27a8cc73e4a1ea96626c4c92a14112025-08-20T03:53:42ZengWileyRespirology Case Reports2051-33802025-04-01134n/an/a10.1002/rcr2.70154EIT Observed Hypoxemia Caused by V/Q Mismatch During One‐Lung Ventilation With Indocyanine Green Inhalation: A Report of Two CasesXiaoyan Li0Maokun Li1Jian Zhou2Yi Feng3Ke Zhang4Haiyan Xu5Zhenfan Wang6Xue Tian7Department of Anesthesiology Peking University People's Hospital Beijing People's Republic of ChinaDepartment of Electronic Engineering Tsinghua University Beijing People's Republic of ChinaDepartment of Thoracic Surgery Peking University People's Hospital Beijing People's Republic of ChinaDepartment of Anesthesiology Peking University People's Hospital Beijing People's Republic of ChinaInfivision Medical Imaging Technology Co., Ltd Beijing People's Republic of ChinaDepartment of Electronic Engineering Tsinghua University Beijing People's Republic of ChinaDepartment of Thoracic Surgery Peking University People's Hospital Beijing People's Republic of ChinaDepartment of Anesthesiology Peking University People's Hospital Beijing People's Republic of ChinaABSTRACT Nebulization under one‐lung ventilation (OLV) can facilitate precise localisation of pulmonary tumours and assist in surgical manipulation. However, hypoxaemia during the nebulization process remains a challenging issue. In this report, we present two cases monitored using Electrical Impedance Tomography (EIT), where individual differences in pulmonary blood flow redistribution contributed to hypoxaemia. This phenomenon was further exacerbated in the lateral decubitus position with the ventilated lung in the upper position. EIT provided real‐time insights into ventilation‐perfusion (V/Q) distribution, offering valuable guidance for managing hypoxaemia during nebulization and surgery under OLV.https://doi.org/10.1002/rcr2.70154case reportEITICG inhalationOLVV/Q
spellingShingle Xiaoyan Li
Maokun Li
Jian Zhou
Yi Feng
Ke Zhang
Haiyan Xu
Zhenfan Wang
Xue Tian
EIT Observed Hypoxemia Caused by V/Q Mismatch During One‐Lung Ventilation With Indocyanine Green Inhalation: A Report of Two Cases
Respirology Case Reports
case report
EIT
ICG inhalation
OLV
V/Q
title EIT Observed Hypoxemia Caused by V/Q Mismatch During One‐Lung Ventilation With Indocyanine Green Inhalation: A Report of Two Cases
title_full EIT Observed Hypoxemia Caused by V/Q Mismatch During One‐Lung Ventilation With Indocyanine Green Inhalation: A Report of Two Cases
title_fullStr EIT Observed Hypoxemia Caused by V/Q Mismatch During One‐Lung Ventilation With Indocyanine Green Inhalation: A Report of Two Cases
title_full_unstemmed EIT Observed Hypoxemia Caused by V/Q Mismatch During One‐Lung Ventilation With Indocyanine Green Inhalation: A Report of Two Cases
title_short EIT Observed Hypoxemia Caused by V/Q Mismatch During One‐Lung Ventilation With Indocyanine Green Inhalation: A Report of Two Cases
title_sort eit observed hypoxemia caused by v q mismatch during one lung ventilation with indocyanine green inhalation a report of two cases
topic case report
EIT
ICG inhalation
OLV
V/Q
url https://doi.org/10.1002/rcr2.70154
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