Performing a lobectomy frequently requires collapsing the operative lung, which may result in hypoperfusion, ischemia, and reperfusion injury that can lead to postoperative lung injury and hypoxemia. Remote ischemic preconditioning may represent a viable strategy for reducing postoperative lung injury in patients undergoing lobectomy. In this infographic, we describe recent work that assesses markers of inflammation and measurements of perfusion following a randomized, blinded exposure to remote ischemic preconditioning.
ALI indicates acute lung injury; ARDS, acute respiratory distress syndrome; FIO2, fraction of inspired oxygen; ICU, intensive care unit; OLV, one-lung ventilation; PaO2, partial pressure arterial oxygen; TLV, two-lung ventilation.
1. García-de-la-Asunción J, Bruno L, Perez-Griera J, et alRemote ischemic preconditioning decreases oxidative lung damage after pulmonary lobectomy: a single-center randomized, double-blind, controlled trial. Anesth Analg. 2017;125:499–506.