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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...

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Autores principales: Deng, Jingdan, Zeng, Zhiwen, Zhang, Zizheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
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.
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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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