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Intravenous versus inhalation anaesthesia for one-lung ventilation

  1. Norma SP Módolo1,
  2. Marília P Módolo2,
  3. Marcos A Marton2,
  4. Enilze Volpato3,
  5. Vinícius Monteiro Arantes1,
  6. Paulo do Nascimento Junior1,
  7. Regina El Dib1,*

Editorial Group: Cochrane Anaesthesia Group

Published Online: 11 JUL 2013

Assessed as up-to-date: 19 NOV 2012

DOI: 10.1002/14651858.CD006313.pub3


How to Cite

Módolo NSP, Módolo MP, Marton MA, Volpato E, Monteiro Arantes V, do Nascimento Junior P, El Dib R. Intravenous versus inhalation anaesthesia for one-lung ventilation. Cochrane Database of Systematic Reviews 2013, Issue 7. Art. No.: CD006313. DOI: 10.1002/14651858.CD006313.pub3.

Author Information

  1. 1

    Botucatu Medical School, UNESP - Univ Estadual Paulista, Department of Anaesthesiology, Botucatu, São Paulo, Brazil

  2. 2

    Botucatu Medical School, UNESP - Univ Estadual Paulista, Botucatu, São Paulo, Brazil

  3. 3

    Universidade Estadual Paulista Júlio de Mesquita Filho/ UNESP, Library, Botucatu, Brazil

*Regina El Dib, Department of Anaesthesiology, Botucatu Medical School, UNESP - Univ Estadual Paulista, Distrito de Rubião Júnior, s/n, Botucatu, São Paulo, 18603-970, Brazil. eldib@fmb.unesp.br. re.lucci@terra.com.br.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 11 JUL 2013

SEARCH

References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Abay 2000 {published data only}
  • Abay G, Izgi F, Coruh T, Macika H, Dogusoy I, Aykac Z. The effects of sevoflurane on hypoxic pulmonary vasoconstriction during one-lung ventilation in thoracic surgery. British Journal of Anaesthesia 2000, (84 Suppl 1):A27.
Beck 2001 {published data only}
  • Beck DH, Doepfmer UR, Sinemus C, Bloch A, Schenk MR, Kox WJ. Effects of sevoflurane and propofol on pulmonary shunt fraction during one-lung ventilation for thoracic surgery. British Journal of Anaesthesia 2001;86:38-43. [MEDLINE: 11575407]
De Conno 2009 {published data only}
  • De Conno E, Steurer MP, Wittlinger M, Zalunardo MP, Weder W, Schneiter D, et al. Anesthesic-induced improvement of the inflammatory response to one-lung ventilation. Anesthesiology 2009;1106:1316-26.
Egawa 2009 {published data only}
  • Egawa J, Kawaguchi M, Inoue S, Nishiwada T, Furuya H. Cerebral oxygen balance and postoperative cognitive function in patients undergoing lung surgery with one lung ventilation under propofol or sevoflurane anesthesia. Journal of Neurosurgical Anesthesiology 2009;21(4):408-9.
El-Hakeem 2003 {published data only}
  • Abd El-Hakeem EE, Mohamed MS, Ali SM, El-Minshawy AM. Haemodynamic and pulmonary shunt fraction changes with sevoflurane or propofol anaesthesia during one-lung ventilation for thoracic surgery. Egyptian Journal of Anaesthesia 2003;19:233-41.
Fukuoka 2009 {published data only}
  • Fukuoka N, Iida H, Akamatsu S, Nagase K, Iwata H, Dohi S. The association between the initial end-tidal carbon dioxide difference and the lowest arterial oxygen tension value obtained during one-lung anesthesia with propofol or sevoflurane. Journal of Cardiothoracic and Vascular Anesthesia 2009;23:775-9.
Gasowska 1999 {published data only}
  • Gasowska J, Brzezinski K, Przesmycki K, Nestorowicz A. Effects of halothane, isoflurane, and propofol on venous admixture during one-lung ventilation in patients undergoing thoracoscopic procedures. Medical Science Monitor 1999;5:929-33.
Huang 2008 {published data only}
  • Huang CH, Wang YP, Wu PY, Chien CT, Cheng YJ. Propofol infusion shortens and attenuates oxidative stress during one lung ventilation. Acta Anaesthesiologica Taiwanica 2008;46(4):160-5.
Iwata 2008 {published data only}
  • Iwata M, Inoue S, Kawaguchi M, Takahama M, Tojo T, Taniguchi S, et al. Jugular bulb venous oxygen saturation during one-lung ventilation under sevoflurane- or propofol-based anesthesia for lung surgery. Journal of Cardiothoracic and Vascular Anesthesia 2008;22:71-6.
Kellow 1995 {published data only}
  • Kellow NH, Scott AD, White SA, Feneck RO. Comparison of the effects of propofol and isoflurane anaesthesia on right ventricular function and shunt fraction during thoracic surgery. British Journal of Anaesthesia 1995;75:578-82. [MEDLINE: 7577284]
Pilotti 1999 {published data only}
  • Pilotti L, Torresini G, Crisci R, De Sanctis A, De Sanctis C. Total intravenous anesthesia in thoracotomy with one-lung ventilation [Anestesia totalmente endovenosa nella toracotomia con ventilazione monopolmonare]. Minerva Anestesiologica 1999;65:483-9. [MEDLINE: 10479834]
Pruszkowski 2007 {published data only}
  • Pruszkowski O,  Dalibon N,  Moutafis M,  Jugan E,  Law-Koune JD, Laloe PA. Effects of propofol vs sevoflurane on arterial oxygenation during one-lung ventilation. British Journal of Anaesthesia 2007;98(4):539-44.
Rees 1984 {published data only}
Reid 1996 {published data only}
  • Reid CW, Slinger PD, Lenis S. A comparison of the effects of propofol-alfentanil versus isoflurane anesthesia on arterial oxygenation during one-lung ventilation. Journal of Cardiothoracic and Vascular Anesthesia 1996;10:869-73. [MEDLINE: 8969391]
Rutkowska 2009 {published data only}
  • Rutkowska K, Werszner M, Misiolek H. Comparison of desfluran and propofol anaesthesia for one lung ventilation. Proceedings of the European Anaesthesiology Congress, EUROANAESTHESIA. Milan, Italy, 2009:77-8.
Schilling 2011 {published data only}
  • Schilling T, Kozian A, Senturk M, Huth C, Reinhold A, Hedenstierna G, et al. Effects of volatile and intravenous anesthesia on the alveolar and systemic inflamatory response in thoracic surgical patients. Anesthesiology 2011;115(1):65-74.
Schwarzkopf 2009 {published data only}
  • Schwarzkopf K, Hueter L, Schreiber T, Preussler NP, Loeb V, Karzai W. Oxygenation during one-lung ventilation with propofol or sevoflurane. Middle East Journal of Anesthesiology 2009;20(3):397-400.
Spies 1991 {published data only}
  • Spies C, Zaune U, Pauli MH, Boeden G, Martin E. A comparison of enflurane and propofol in thoracic surgery [Vergleich von Enfluran und Propofol bei thoraxchirurgischen Eingriffen]. Der Anaesthesist 1991;40:14-8. [MEDLINE: 2006722]
Steurer 2007 {published data only}
  • Steurer M P, Steurer MA, Spahn DR, Zalunardo MP, Feser M, Schmid ER. One-lung ventilation: effect of anesthetics on production of inflammatory mediators in the respiratory compartment. Proceedings of the American Thoracic Society International Conference. San Francisco, California, USA, 2007.
Yamada 2008 {published data only}
  • Yamada N, Nagata H, Sato Y, Tomoyasu M. Effects of propofol or sevoflurane on cerebral regional oxygen saturation (rSO2) during one-lung ventilation. The Japanese Journal of Anesthesiology 2008;57(11):1388-97.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Abe 1998a {published data only}
  • Abe K, Mashimo T, Yoshiya I. Arterial oxygenation and shunt fraction during one-lung ventilation: a comparison of isoflurane and sevoflurane. Anesthesia and Analgesia 1998a;86:1266-70. [MEDLINE: 9620517]
Abe 1998b {published data only}
  • Abe K, Shimizu T, Takashina M, Shiozaki H, Yoshiya I. The effects of propofol, isoflurane, and sevoflurane on oxygenation and shunt fraction during one-lung ventilation. Anesthesia and Analgesia 1998b;87:1164-9. [MEDLINE: 9806702]
Benumof 1987 {published data only}
Boldt 1996 {published data only}
  • Boldt J, Müller M, Uphus D, Padberg W, Hempelmann G. Cardiorespiratory changes in patients undergoing pulmonary resection using different anesthetic management techniques. Journal of Cardiothoracic and Vascular Anesthesia 1996;10:854-9. [MEDLINE: 8969390]
Bovill 1984 {published data only}
  • Bovill JG, Warren PJ, Schuller JL, van Wezel HB, Hoeneveld MH. Comparison of fentanyl, sufentanil, and alfentanil anesthesia in patients undergoing valvular heart surgery. Anesthesia and Analgesia 1984;63:1081-6. [MEDLINE: 6239571]
Canet 1994 {published data only}
Carlsson 1987 {published data only}
Celik 2009 {published data only}
  • Celik HK, Ustun FE, Celik B, Basoglu A. Effects of desflurane and sevoflurane on oxygenation and shunt fraction during one-lung ventilation and on recovery time. Turkiye Klinikleri Journal of Medical Sciences 2009;29(5):1222-9.
Cigarini 1990 {published data only}
Dikmen 2003 {published data only}
Dupont 1999 {published data only}
  • Dupont J, Tavernier B, Ghosez Y, Durinck L, Thevenot A, Moktadir-Chalons N, et al. Recovery after anaesthesia for pulmonary surgery: desflurane, sevoflurane and isoflurane. British Journal of Anaesthesia 1999;82:355-9. [MEDLINE: 10434815]
Furugen 1989 {published data only}
  • Furugen C, Satoh K, Koh J, Sakaguchi Y, Yanagitani T, Kosaka Y. A-aDO2 during one lung ventilation under propofol anesthesia. Anesthesia and Resuscitation 1997;33:21-33.
He 1996 {published data only}
  • He X, Liu L, Tang Z, Zhao X. The effects of anesthesia with different concentrations of sevoflurane on venous admixture in unilateral lung ventilation. Bulletin of Hunan Medical University 1996;21(5):442-4.
He 1999 {published data only}
  • He XJ, Liu L, Chang YT, Zhou JM. Comparison of the effects of inhaling desflurane and isoflurane on pulmonary shunt (Qs/Qt) in one lung ventilation. Chinese Journal of Anesthesiology 1999;19(12):748-9.
Koishi 1998 {published data only}
  • Koishi K. The effect of isoflurane anesthesia and total intravenous anesthesia with propofol on SpO2 during one-lung anesthesia. Journal of the Medical Society of Toho University 1998;45:271-5.
Koishi 1999 {published data only}
  • Koishi K, Miyazaki N, Ooe Y. Changes in SpO2 during total intravenous anesthesia combined with propofol and SpO2 during one-lung anesthesia ventilation. Masui 1999;48:53-6. [MEDLINE: 10036890]
Ma 1998 {published data only}
  • Ma H, Wang JK, Xu GZ, Zhang L, Shen ZR. The effect of sevoflurane on lung shunt fraction during one-lung ventilation. Chinese Journal of Anesthesiology 1998;18:67-9.
Merli 1991 {published data only}
  • Merli M, Amari B, Ferrante M, Gagliardone MP, Milazzo F, Oppizzi M, et al. Hemodynamic effects of propofol in patients undergoing pulmonary excision and in patients undergoing closed heart mitral valve surgery. Minerva Anestesiologica 1991;57:399-412. [MEDLINE: 1944963]
Pagel 1998 {published data only}
  • Pagel PS, Fu JL, Damask MC, Davis RF, Samuelson PN, Howie MB, et al. Desflurane and isoflurane produce similar alterations in systemic and pulmonary hemodynamics and arterial oxygenation in patients undergoing one-lung ventilation during thoracotomy. Anesthesia and Analgesia 1998;87:800-7. [MEDLINE: 9768773]
Pueyo 1994 {published data only}
  • Pueyo JA, Pajuelo A, Fuentes R, Bustos A, Guerrero M, Munoz M. Effect of propofol on oxygenation and the pulmonary short-circuit during single-lung ventilation [Efecto del propofol sobre la oxigenacion y el cortocircuito pulmonar durante la ventilacion a un solo pulmon]. Revista Española de Anestesiología y Reanimación 1994;41:27-9. [MEDLINE: 8016427]
Rogers 1985 {published data only}
Rosso 1995 {published data only}
  • Rosso TM, Aguado GR, Vivo M, Nunez M, Grau F. Cardiocirculatory stability and early extubation in patients undergoing thoracic surgery with propofol as the single anesthetic agent [Stabilità cardiocircolatoria ed estubazione precoce nei pazienti sottoposti a chirurgia toracica utilizzando propofol come agente anestetico unico]. Minerva Anestesiologica 1995;61:183-9. [MEDLINE: 7478049]
Saito 2000 {published data only}
  • Saito M, Cho S, Morooka H, Hasuo H, Shibata O, Sumikawa K. Effects of sevoflurane compared with those of isoflurane on arterial oxygenation and hemodynamics during one-lung ventilation. Journal of Anesthesia 2000;20:1-5. [MEDLINE: 14564602]
Satoh 1998 {published data only}
Shimizu 1997 {published data only}
Sjögren 1995 {published data only}
Slinger 1988 {published data only}
Slinger 1995 {published data only}
Solares 1992 {published data only}
  • Solares G, Castro A, Villanueva M, Garcia Izquierdo M, Buitrago PM. Effect of isoflurane on gas exchange and systemic and pulmonary hemodynamics in man during single lung ventilation [Efecto del isoflurano sobre el intercambio gaseoso y la hemodinamica sistemica y pulmonar en el hombre durante la ventilacion a un solo pulmon]. Revista Española de Anestesiología y Reanimación 1992;39:221-6. [MEDLINE: 1513938]
Steegers 1990 {published data only}
  • Steegers PA, Backx PJ. Propofol and alfentanil anesthesia during one-lung ventilation. Journal of Cardiothoracic Anesthesia 1990;4:194-9. [MEDLINE: 2131866]
Temp 1992 {published data only}
Van Keer 1989 {published data only}
  • Van Keer L, Van Aken H, Vandermeersch E, Vermaut G, Lerut T. Propofol does not inhibit hypoxic pulmonary vasoconstriction in humans. Journal of Clinical Anesthesia 1989;1:284-8.
Van Leeuwen 1990 {published data only}
  • van Leeuwen L, Zuurmond WW, Deen L, Helmers HJ. Total intravenous anaesthesia with propofol, alfentanil, and oxygen-air: three different dosage schemes. Canadian Journal of Anaesthesia 1990;37:282-6. [MEDLINE: 2182204]
Wang 1998 {published data only}
  • Wang JY, Russell GN, Page RD, Jackson M, Pennefather SH. Comparison of the effects of sevoflurane and isoflurane on arterial oxygenation during one lung ventilation. British Journal of Anaesthesia 1998;81:850-3. [MEDLINE: 10211007]
Wang 2000 {published data only}
Yamada 1990 {published data only}
  • Yamada M, Ochiai R, Takeda J, Nagano M. Does anesthetic technique affect the oxygenation during one lung anesthesia?. Canadian Journal of Anaesthesia 1990;37:S164. [MEDLINE: 2361279]
Yondov 1999 {published data only}
  • Yondov D, Kounev V, Ivanov O, Prisadov G, Semerdjieva M. A comparative study of the effect of halothane, isoflurane and propofol on partial arterial oxygen pressure during one-lung ventilation in thoracic surgery. Folia Medica 1999;41(3):45-51. [MEDLINE: 10658366]

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Domino 1986
Friedlander 1994
  • Friedlander M, Sandler A, Kavanagh B, Winton T, Benumof J. Is hypoxic pulmonary vasoconstriction important during single lung ventilation in the lateral decubitus position?. Canadian Journal of Anaesthesia 1994;41(1):26-30. [MEDLINE: 8111940]
Gupta 2004
  • Gupta A, Stierer T, Zuckerman R, Sakima N, Parker SD, Fleisher LA. Comparison of recovery profile after ambulatory anesthesia with propofol, isoflurane, sevoflurane and desflurane: a systematic review. Anesth Analg 2004;98(3):632-41.
Harpole 1999
  • Harpole DH Jr, DeCamp MM Jr, Daley J, Hur K, Oprian CA, Henderson WG, et al. Prognostic models of thirty-day mortality and morbidity after major pulmonary resection. J Thorac Cardiovasc Surg 1999;117(5):969-79.
Higgins 2003
Higgins 2011
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration. The Cochrane Collaboration, 2011. www.cochrane-handbook.org.
Loer 1995
Marshall 1984
Morgan 2001
  • Morgan GE, Mikhail MS, Murray MJ, Larson CPJ. Anesthesia for thoracic surgery. Clinical Anesthesiology. 3rd Edition. New York: McGraw-Hill, 2001:525-51.
Ozkose 2001
  • Ozkose Z, Ercan B, Unal Y, Yardim S, Kaymaz M, Dogulu F, et al. Inhalation versus total intravenous anesthesia for lumbar disc herniation: comparison of hemodynamic effects, recovery characteristics, and cost. J Neurosurg Anesthesiol 2001;13(4):296-302.
RevMan 5.1
  • The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). 5.1. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2011.
Wada 1998
Zeng 2010
  • Zeng ZY, Pan LH, Lin F. Effects of thoracic epidural anesthesia combined with general anesthesia on arterial oxygenation and intrapulmonary shunting during one-lung ventilation: a systematic review. Chinese Journal of Evidence-Based Medicine 2010;10(12):1450-55.

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Bassi 2008