In cases where the pulmonary graft shows evidence of dysfunction independent lung ventilation
must be considered a reasonable alterative.
As always, when planning independent lung ventilation
in the setting of a difficult airway, ventilation via a simpler technique should take precedence over insertion of a complex tube.
Also, there are pieces covering areas which are difficult to manage clinically, such as independent lung ventilation
and extracorporeal life support, as well as an excellent section on various issues in neonatal and paediatric ventilation.
Independent lung ventilation and High Frequency oscillation have been employed in the management of BPF and both are worthy of columns of their own.
I must emphasize that both independent lung ventilation and HFOV have some clinical utility in the ventilatory support of the patient with BPF, however the current thought is that one become more goal directed with these patients and work within the parameters of your individual practice model.