Journal of clinical anesthesia
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To determine whether the supine-to-prone position change displaced the endotracheal tube (ETT) and, if so, whether the displacement related to this change modified ETT cuff pressure. ⋯ After the supine-to-prone position change, patients had ETT tube displacement. Such ETT movement may be accompanied by a decrease in cuff pressure.
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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. ⋯ 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.