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Case report of non-tracheal intubation—an alternative for postpneumonectomy patients undergoing contralateral pulmonary resection
BACKGROUND: Surgery on the contralateral or other lungs after pneumonectomy on one side is highly challenging and complex. It is critical to creating conditions for fluent surgical maneuvers while ensuring adequate ventilation for a patient during such an operation in the same chest cavity that appe...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565958/ https://www.ncbi.nlm.nih.gov/pubmed/37817241 http://dx.doi.org/10.1186/s13019-023-02386-z |
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author | Deng, Jingdan Zeng, Zhiwen Zhang, Zizheng |
author_facet | Deng, Jingdan Zeng, Zhiwen Zhang, Zizheng |
author_sort | Deng, Jingdan |
collection | PubMed |
description | BACKGROUND: Surgery on the contralateral or other lungs after pneumonectomy on one side is highly challenging and complex. It is critical to creating conditions for fluent surgical maneuvers while ensuring adequate ventilation for a patient during such an operation in the same chest cavity that appears incompatible. CASE PRESENTATION: We have reported herein the case of a patient who, following a left pneumonectomy, underwent a right upper pulmonary nodule wedge resection via video-assisted thoracoscopic surgery without requiring endotracheal intubation. We managed ventilation with a laryngeal mask airway under general anesthesia combined with a thoracic epidural block. The diseased lobe collapsed well for the surgical procedure during VATS without hypoxia, after which the resection was safely performed. CONCLUSIONS: Non-tracheal intubation anesthesia can be a potentially attractive alternative for patients undergoing contralateral pulmonary resection after pneumonectomy. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13019-023-02386-z. |
format | Online Article Text |
id | pubmed-10565958 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-105659582023-10-12 Case report of non-tracheal intubation—an alternative for postpneumonectomy patients undergoing contralateral pulmonary resection Deng, Jingdan Zeng, Zhiwen Zhang, Zizheng J Cardiothorac Surg Case Report BACKGROUND: Surgery on the contralateral or other lungs after pneumonectomy on one side is highly challenging and complex. It is critical to creating conditions for fluent surgical maneuvers while ensuring adequate ventilation for a patient during such an operation in the same chest cavity that appears incompatible. CASE PRESENTATION: We have reported herein the case of a patient who, following a left pneumonectomy, underwent a right upper pulmonary nodule wedge resection via video-assisted thoracoscopic surgery without requiring endotracheal intubation. We managed ventilation with a laryngeal mask airway under general anesthesia combined with a thoracic epidural block. The diseased lobe collapsed well for the surgical procedure during VATS without hypoxia, after which the resection was safely performed. CONCLUSIONS: Non-tracheal intubation anesthesia can be a potentially attractive alternative for patients undergoing contralateral pulmonary resection after pneumonectomy. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13019-023-02386-z. BioMed Central 2023-10-10 /pmc/articles/PMC10565958/ /pubmed/37817241 http://dx.doi.org/10.1186/s13019-023-02386-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Deng, Jingdan Zeng, Zhiwen Zhang, Zizheng Case report of non-tracheal intubation—an alternative for postpneumonectomy patients undergoing contralateral pulmonary resection |
title | Case report of non-tracheal intubation—an alternative for postpneumonectomy patients undergoing contralateral pulmonary resection |
title_full | Case report of non-tracheal intubation—an alternative for postpneumonectomy patients undergoing contralateral pulmonary resection |
title_fullStr | Case report of non-tracheal intubation—an alternative for postpneumonectomy patients undergoing contralateral pulmonary resection |
title_full_unstemmed | Case report of non-tracheal intubation—an alternative for postpneumonectomy patients undergoing contralateral pulmonary resection |
title_short | Case report of non-tracheal intubation—an alternative for postpneumonectomy patients undergoing contralateral pulmonary resection |
title_sort | case report of non-tracheal intubation—an alternative for postpneumonectomy patients undergoing contralateral pulmonary resection |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565958/ https://www.ncbi.nlm.nih.gov/pubmed/37817241 http://dx.doi.org/10.1186/s13019-023-02386-z |
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