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Indian Journal of Anesthesia and Analgesia 13(4):p 207-210, October-December 2026. | DOI: https://doi.org/10.21088/ijaa.2349.8471.13426.8
Case Report
Anaesthetic Management of One-Lung Ventilation Lower Lobectomy
Vishnu Vardhan V., M. Sethu Madhav, Dinesh K., Ravi Madhusudhana, Mukesh S
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Anesthesia and Analgesia 13(4):p 207-210, October-December 2026. | DOI: https://doi.org/10.21088/ijaa.2349.8471.13426.8
How Cite This Article:
M. Sethu Madhav, Vishnu Vardhan V., Dinesh K. et. al, Anaesthetic Management of One-Lung Ventilation Lower Lobectomy. Ind J Anesth Analg. 2026; 13(4): 207-210.Timeline
Received : August 25, 2026
Accepted : October 01, 2026
Published : December 30, 2026
Abstract
One-lung ventilation (OLV) is routinely used to provide surgical exposure during thoracic procedures, but separation of the lungs can produce clinically important changes in oxygenation. We describe the perioperative anaesthetic management of a 76-year-old woman weighing 44 kg who underwent pulmonary lobectomy. A thoracic epidural was placed before induction, and lung isolation was achieved with a 28 Fr left-sided double-lumen tube. After initiation of OLV, oxygen saturation fell from 99% to 90%, with an arterial PaO2 of 68 mmHg. Tube position was reassessed by fibreoptic bronchoscopy, inspired oxygen was increased to 1.0, recruitment of the dependent lung was performed, and PEEP was adjusted. CPAP of 5 cm H2O was subsequently applied to the non-dependent lung. Oxygen saturation rose to 97% and PaO 2 to 118 mmHg, with no further desaturation. The operation lasted 310 minutes, with 520 mL blood loss and stable haemodynamics. Postoperative analgesia was provided through the thoracic epidural, and the patient had an uncomplicated recovery. This case illustrates the value of systematic assessment and stepwise intervention when hypoxaemia develops during OLV.
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Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
M. Sethu Madhav, Vishnu Vardhan V., Dinesh K. et. al, Anaesthetic Management of One-Lung Ventilation Lower Lobectomy. Ind J Anesth Analg. 2026; 13(4): 207-210.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| August 25, 2026 | October 01, 2026 | December 30, 2026 |
DOI: https://doi.org/10.21088/ijaa.2349.8471.13426.8
Keywords
One-lung ventilationLobectomyDouble-lumen tubeThoracic anaesthesiaLung isolationThoracic epidural analgesiaSearch for Similar Articles
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Timeline
| Received | August 25, 2026 |
| Accepted | October 01, 2026 |
| Published | December 30, 2026 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
