Bilateral torakotomi ile yapilan sol "sleeve" pnömonektomide anestezi yönetimi (olgu sunumu) Management of anesthesia in left sleeve pneumonectomy through bilateral thoracotomy
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi, cilt.38, sa.1, ss.64-69, 2010 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 38 Sayı: 1
- Basım Tarihi: 2010
- Dergi Adı: Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.64-69
- Anahtar Kelimeler: Carinal resection, High-frequency ventilation, Sleeve pneumonectomy, Thoracotomy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
A case diagnosed as the carcinoma of the left main bronchus with carinal invasion was presented in this article. The male patient underwent mediastinoscopy and left sleeve pneumonectomy through bilateral sequential thoracotomy at the same session. For the maintenance of anesthesia, thoracic epidural analgesia in combination with general anesthesia was used. High-frequency jet ventilation was applied for oxygenation during carina resection and end-to-end anastomosis of the trachea to right main bronchus. As a conclusion, adequate oxygenation was maintained and good surgical exposure was provided with high-frequency jet ventilation. Thoracic epidural analgesia was effective both during and immediately after operations.