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- Tadahiko Ishiyama, Hironobu Iwashita, Kazuhiro Shibuya, Yoshihide Terada, Taishi Masamune, and Yosuke Nakadate.
- Surgical Center, University of Yamanashi Hospital, University of Yamanashi, Yamanashi 409-3898, Japan. ishiyama@yamanashi.ac.jp
- J Clin Anesth. 2013 Feb 1;25(1):55-7.
AbstractA 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 PaCO(2) gradually increased from 51.9 mmHg to 80.0 mmHg, appropriate surgical conditions were provided, PaO(2) was well preserved, and blood pressure and heart rate were stable throughout the VATS procedure.Copyright © 2013 Elsevier Inc. All rights reserved.
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