High-frequency jet ventilation during video-assisted thoracoscopic surgery in a patient with previous contralateral pneumonectomy
High-frequency jet ventilation during video-assisted thoracoscopic surgery in a patient with previous contralateral pneumonectomy
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DOI：
10.1016/j.jclinane.2012.05.008
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发表时间：
2013-02-01
影响因子：
6.7
通讯作者：
Matsukawa, Takashi
中科院分区：
文献类型：
--
作者：
Ishiyama, Tadahiko;Iwashita, Hironobu;Matsukawa, Takashi
本文报告一例对侧全肺切除患者在电视胸腔镜术(VATS)中应用高频喷射呼吸机(HFJV)的病例。一名77岁的男性右气胸患者被安排在电视胸腔镜行大泡切除术。6年前，他因肺癌接受了左全肺切除术。麻醉诱导和维持采用异丙酚和芬太尼。患者使用正常的单腔气管插管(ETT)。在VATS手术过程中，通过ETT实施HFJV。虽然PaCO2从51.9 mm Hg逐渐上升到80.0 mm Hg，但在整个VATS手术过程中，提供了合适的手术条件，PaO2保存良好，血压和心率稳定。(C)2013 Elsevier Inc.保留所有权利。
A case of high-frequency jet ventilation (HFJV) during video-assisted thoracoscopic surgery (VATS) in a patient with previous contralateral pneumonectomy is presented. A 77-year-old man with a right pneumothorax was scheduled for bullectomy by VATS. He had undergone left pneumonectomy due to lung cancer 6 years earlier. Anesthesia was induced and maintained with propofol and fentanyl. The patient was intubated with a normal, single-lumen endotracheal tube (ETT). HFJV was applied through the ETT during the VATS procedure. Although PaCO2 gradually increased from 51.9 mmHg to 80.0 mmHg, appropriate surgical conditions were provided, PaO2 was well preserved, and blood pressure and heart rate were stable throughout the VATS procedure. (c) 2013 Elsevier Inc. All rights reserved.