• A & A case reports · Oct 2013

    Thoracoscopic wedge resection of the lung using high-frequency jet ventilation in a postpneumonectomy patient.

    • Jens Lohser and Sean R McLean.
    • From the *Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver General Hospital; and †Anesthesiology Residency Program, University of British Columbia, Vancouver, British Columbia, Canada.
    • A A Case Rep. 2013 Oct 15;1(2):39-41.

    AbstractA 61-year-old female ex-smoker presented with a suspicious right lower lobe mass after previously undergoing a left pneumonectomy. Due to the peripheral nature of the lung lesion, a right thoracoscopic wedge resection was proposed by the surgical team. Adequate ventilation, oxygenation, and surgical conditions were obtained using high-frequency jet ventilation to the operative lung throughout the procedure. The trachea was extubated in the operating room, and the patient recovered uneventfully from the procedure. This case demonstrates the feasibility of limited thoracoscopic lung resections postpneumonectomy with the use of high-frequency jet ventilation.

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