Non-intubated anaesthetic technique in open bilobectomy in a patient with severely impaired lung function
General anaesthesia has been the most commonly used method for almost all types of thoracic surgery. Recently, there has been a growing interest in non-intubated anaesthetic techniques. The rationale being, to prevent complications related to general anaesthesia and positive pressure ventilation suc...
Elmentve itt :
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| Dokumentumtípus: | Cikk |
| Megjelent: |
2018
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| Sorozat: | JOURNAL OF THORACIC DISEASE
10 No. 4 |
| doi: | 10.21037/jtd.2018.04.80 |
| mtmt: | 3386221 |
| Online Access: | http://publicatio.bibl.u-szeged.hu/16074 |
| LEADER | 02198nab a2200265 i 4500 | ||
|---|---|---|---|
| 001 | publ16074 | ||
| 005 | 20190710153456.0 | ||
| 008 | 190710s2018 hu o 0|| angol d | ||
| 022 | |a 2072-1439 | ||
| 024 | 7 | |a 10.21037/jtd.2018.04.80 |2 doi | |
| 024 | 7 | |a 3386221 |2 mtmt | |
| 040 | |a SZTE Publicatio Repozitórium |b hun | ||
| 041 | |a angol | ||
| 100 | 1 | |a Szabó Zsolt | |
| 245 | 1 | 0 | |a Non-intubated anaesthetic technique in open bilobectomy in a patient with severely impaired lung function |h [elektronikus dokumentum] / |c Szabó Zsolt |
| 260 | |c 2018 | ||
| 300 | |a E275-E280 | ||
| 490 | 0 | |a JOURNAL OF THORACIC DISEASE |v 10 No. 4 | |
| 520 | 3 | |a General anaesthesia has been the most commonly used method for almost all types of thoracic surgery. Recently, there has been a growing interest in non-intubated anaesthetic techniques. The rationale being, to prevent complications related to general anaesthesia and positive pressure ventilation such as barotrauma or ventilation-perfusion mismatch. We present a case with severely impaired forced expiration volume (26%), carbon monoxide diffusing capacity (26%) and VO2max (13.9 mL/kg/min). According to current guidelines, this patient was suitable to undergo one-lung ventilation only with high risk of morbidity and mortality. Therefore, we chose the non-intubated technique for thoracotomy. Oxygenation was satisfactory throughout, the patient remained hemodynamically stable and the operation was uneventful. Oxygen supplementation was stopped from day 2 and he was discharged on day 7. To our knowledge, this is the first case report where a planned non-intubated method was applied for thoracotomy, and our results suggest that it might be a feasible and safe approach for open thoracotomy in difficult cases where severely impaired lung function indicates that one lung ventilation may carry significant risks. | |
| 700 | 0 | 1 | |a Tánczos Tamás |e aut |
| 700 | 0 | 1 | |a Lebák Gábor |e aut |
| 700 | 0 | 1 | |a Molnár Zsolt |e aut |
| 700 | 0 | 1 | |a Furák József |e aut |
| 856 | 4 | 0 | |u http://publicatio.bibl.u-szeged.hu/16074/1/J_Thorac_Dis_cover_10_4.png |z Dokumentum-elérés |
| 856 | 4 | 0 | |u http://publicatio.bibl.u-szeged.hu/16074/2/SzaboZs_Nonintubated.pdf |z Dokumentum-elérés |