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A study of right ventricular function during one lung anesthesia

Dissertation (PhD)--University of Stellenbosch, 2003.

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Main Author: Levin, Andrew Ian
Other Authors: Coetzee, Andre
Format: Thesis
Language:en_ZA
Published: Stellenbosch : University of Stellenbosch 2011
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access_status_str Open Access
author Levin, Andrew Ian
author2 Coetzee, Andre
author_browse Coetzee, Andre
Levin, Andrew Ian
author_facet Coetzee, Andre
Levin, Andrew Ian
author_sort Levin, Andrew Ian
collection Thesis
dc_rights_str_mv University of Stellenbosch
description Dissertation (PhD)--University of Stellenbosch, 2003.
format Thesis
id oai:scholar.sun.ac.za:10019.1/16060
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:41:31.332Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2011
publishDateRange 2011
publishDateSort 2011
publisher Stellenbosch : University of Stellenbosch
publisherStr Stellenbosch : University of Stellenbosch
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/16060 A study of right ventricular function during one lung anesthesia Levin, Andrew Ian Coetzee, Andre University of Stellenbosch. Faculty of Health Sciences. Dept. of Anaesthesiology and Critical Care. Anesthesia Lungs Lungs -- Effect of drugs on One lung anesthesia Theses -- Medicine Dissertations -- Medicine Dissertation (PhD)--University of Stellenbosch, 2003. ENGLISH ABSTRACT: A significant decrease in lung volume is reported to occur in the dependent lung during OLA in the LDP. This decrease in lung volume can result in an acute increase in opposition to RV ejection. The potential problem is that the right ventricle is a thin walled structure that can generate considerably less work than the thicker walled LV. It possesses little reserve to deal with an acute rise in afterload as may occur during acute lung injury or after lung resection. Therefore, this increase in afterload during OLA may potentially impair RV-PA coupling. Albeit this potential problem exists, the changes in RV afterload and how the right ventricle performs during OLA have not been well studied. Arterial hypoxemia, due mainly to venous blood being shunted via the non-ventilated lung, may present a clinical problem during one lung ventilation. AFRIKAANSE OPSOMMING: ’n Betekenisvolle afname in volume van die onderlong vind in die laterale decubitus posisie tydens eenlongnarkose plaas. Hierdie afname in longvolume mag egter ’n akute verhoging in regter ventrikulêre nalading tot stand bring. Die probleem is egter dat die regter ventrikel ’n dunwandige struktuur is wat potensieel baie minder werk as die dikwandige linker ventrikel kan genereer. Die regter ventrikel het min reserwe om ’n akute verhoging in nalading te weerstaan soos wat gebeur met akute longbesering of na longreseksie. Dus die verhoging in nalading wat gepaard gaan met eenlongnarkose mag die koppeling tussen die regter ventrikel en die pulmonale arterie belemmer. Alhoewel hierdie potensiële probleem bestaan, is die verandering albei in regter ventrikulêre nalading en hoe die regter ventrikel funksioneer tydens eenlongnarkose nog nie goed bestudeer nie. Doctoral 2011-08-11T08:17:28Z 2011-08-11T08:17:28Z 2004-04 Thesis http://hdl.handle.net/10019.1/16060 en_ZA University of Stellenbosch 394 leaves : ill. application/pdf Stellenbosch : University of Stellenbosch
spellingShingle Anesthesia
Lungs
Lungs -- Effect of drugs on
One lung anesthesia
Theses -- Medicine
Dissertations -- Medicine
Levin, Andrew Ian
A study of right ventricular function during one lung anesthesia
title A study of right ventricular function during one lung anesthesia
title_full A study of right ventricular function during one lung anesthesia
title_fullStr A study of right ventricular function during one lung anesthesia
title_full_unstemmed A study of right ventricular function during one lung anesthesia
title_short A study of right ventricular function during one lung anesthesia
title_sort study of right ventricular function during one lung anesthesia
topic Anesthesia
Lungs
Lungs -- Effect of drugs on
One lung anesthesia
Theses -- Medicine
Dissertations -- Medicine
url http://hdl.handle.net/10019.1/16060
work_keys_str_mv AT levinandrewian astudyofrightventricularfunctionduringonelunganesthesia
AT levinandrewian studyofrightventricularfunctionduringonelunganesthesia