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Anesth Analg 2005;101:1554-1555
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000180834.13549.E4

GENERAL ARTICLES

Hypoxemia During One-Lung Ventilation: Jet Ventilation of the Middle and Lower Lobes During Right Upper Lobe Sleeve Resection

Ju-Mei Ng, FANZCA

Department of Anaesthesia & Surgical Intensive Care, Singapore General Hospital, Singapore

Address correspondence and reprint requests to J. M. Ng, FANZCA, Department of Anesthesia & Surgical Intensive Care, Singapore General Hospital, Outram Road, Singapore 169608, Republic of Singapore. Address electronic mail to gannjm{at}sgh.com.sg.

A 64-yr-old man underwent right thoracotomy and upper lobectomy for lung carcinoma. Hypoxemia on one-lung ventilation was being managed with continuous positive airway pressure to the nondependent lung when a sleeve resection had to be performed. As this positive airway pressure would no longer be maintained with the bronchus open, an alternate method of oxygenation was necessary. This report describes the successful use of jet ventilation via an airway exchange catheter placed in the bronchus intermedius through the tracheal lumen of a left-sided double-lumen endobronchial tube. Oxygenation was maintained and surgical access was good during the 15-min resection.




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R. L. Trytko
Preventing hypoxemia during pulmonary sleeve resections.
Anesth. Analg., August 1, 2006; 103(2): 497 - 497.
[Full Text] [PDF]

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 Anesth. Analg.Home page
J.-M. Ng
Preventing Hypoxemia During Pulmonary Sleeve Resections
Anesth. Analg., August 1, 2006; 103(2): 497 - 497.
[Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.