medigraphic.com

2005, Number 3

<< Back Next >>

Rev Mex Anest 2005; 28 (3)

Endobronchial intubation by means of thoracotomy

Arango E, Chávez A, Cuervo JA, Páez SAF, Celis E, García HLE, Camacho F

Language: Spanish
References: 13
Page: 164-168
PDF size: 131.76 Kb.


ABSTRACT

Surgical treatment of bronchogenic tumors poses a special challenge for the anesthesiologist, due to impairment in ventilation that may occur when the bronchi or trachea are disrupted during surgery. Basic pathophysiological principles are imperative to put forward a perioperative anesthetic plan, having in mind the physiologic changes resulting from certain maneuvers performed during surgical and anesthetic procedures, such as lateral decubitus, loss of pleural pressure and pulmonary collapse. A case report of a patient scheduled for resection of a bronchogenic tumor is presented. Literature on similar cases is reviewed to compare the anesthetic interventions and their results.


REFERENCES

  1. Kaplan J. Thoracic Anaesthesia. Third edition. 2003.

  2. Miller R. Anesthesia. Fifth edition. 2000.

  3. Nunn J. Applied Respiratory Physiology. Fifth edition. 1999.

  4. Yokota K, Toriumi T, Sari A, Endou S, Mihira M. Auto positive and expiratory pressure during one lung ventilation using a double lumen endobronchial tube. Anesth Analg 1996;82:1007-10.

  5. Nakatsuka M. Unilateral high frequency jet ventilation during one lung ventilation for thoracotomy. Ann Thorac Surg 1995;59:654-60.

  6. Barclay RS, McSwan N, Welsh TM. Tracheal reconstruction without the use of grafts. Thorax 1957;12:177.

  7. Lloyd JR. Ruptura de bronquio fuente. Reporte de caso. Arch Surgery 1958;77:597-62.

  8. Pearson FG. Thoracic Surgery. 2001.

  9. Yuceyar L, Kaynak K, Canturk E, Aykac B. Bronchial rupture with a left sided polyvinylchloride double lumen tube. Acta Anaesthesiol Scand 2003;47:622-625.

  10. Belsey R. Resection and reconstruction of the intrathoracic trachea. Br J Surg 1950;38:200.

  11. Naghibi K, Hashemi SL, Sajedi P. Anaesthetic management of tracheobronchial rupture following blunt chest trauma. Acta Anaesthesiol Scand 2003;47:901-903.

  12. Sakuragi T, Kumano K, Yasumoto M, Dan K. Rupture of the left mainstem bronchus by the tracheal portional double lumen tube. Act Scandinava Anest 1997;4:1218-1220.

  13. Adoumie R, Shennib H, Brown R, et al. Differential lung ventilation. Applications beyond the operating room. J Thorac Cardiovasc Surg 1993;105:229-233.




2020     |     www.medigraphic.com