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Demo Question

Which one of the following options is an absolute indication for adult one-lung ventilation?

   To assist with surgical access for an oesophagectomy

  To control the distribution of ventilation in a patient with a bronchopleural fistula

   To enable better surgical access for mediastinal mass excision

   To facilitate surgical access for an upper lobectomy

   To improve surgical access for video-assisted thoracoscopic surgery

Key Learning Point

 

There are absolute and relative indications for one lung ventilation. Whilst in most cases the indications to improve surgical access are highly desirable, they are not considered absolute.

Explanation

 

There are absolute and relative indications for one-lung ventilation. In most cases the indications to improve surgical access are highly desirable, they are not considered absolute.

Absolute indications include:

  • Isolation of a healthy lung to prevent contamination or damage from a lung abscess or pulmonary haemorrhage.
  • Control of the distribution of ventilation to prevent baro- or volutrauma of damaged lung tissue (bronchopleural fistula, major cyst or bulla, bronchial trauma.
  • Facilitation of single lung lavage

Relative indications include the enabling of surgical access for thoracic aortic surgery, lung resection, minimally invasive cardiac surgery, video-assisted thoracoscopic surgery (VATS), oesophageal surgery and mediastinal mass resection.

 

Customer Reviews

Based on 3 reviews
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Niall Nelligan
Superb questions and excellent feedback to questions asked

The mobile app is very helpful, there is a large volume of questions and I truly appreciated the individual feedback to questions and comments I had on certain questions. The fact that the editor, Dr. Thomas, is a past examiner only helps solidify that this resource is a must. Thank you for all your time Dr. Thomas.

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Safeena Afzal
Awesome app and questions

Awesome app and questions (for the FRCA Final). So easy to blast through a handful of questions whenever there's a quiet moment at work.

A
Angnes Fong
Mobile app

The mobile app allows me to revise during my commute or whilst waiting in the coffee queue, maximising my study time

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Customer Reviews

Based on 3 reviews
67%
(2)
33%
(1)
0%
(0)
0%
(0)
0%
(0)
N
Niall Nelligan
Superb questions and excellent feedback to questions asked

The mobile app is very helpful, there is a large volume of questions and I truly appreciated the individual feedback to questions and comments I had on certain questions. The fact that the editor, Dr. Thomas, is a past examiner only helps solidify that this resource is a must. Thank you for all your time Dr. Thomas.

S
Safeena Afzal
Awesome app and questions

Awesome app and questions (for the FRCA Final). So easy to blast through a handful of questions whenever there's a quiet moment at work.

A
Angnes Fong
Mobile app

The mobile app allows me to revise during my commute or whilst waiting in the coffee queue, maximising my study time

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