Anaesthesia for bullectomy. Use of propofol, high frequency jet ventilation and extradural blockade.
A patient with a single large bulla occupying 50% of the right hemithorax was anaesthetised successfully with a combination of techniques not previously described. The technique consisted of extradural analgesia and intravenous infusion of propofol, while ventilation was maintained with high frequency jet ventilation through a single lumen tracheal tube. The advantages of this technique are a reduced risk of barotrauma, good operating conditions and good analgesia.
Kan
A F
AF
Department of Anaesthesia and Intensive Care, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, New Territories.
Oh
T E
TE
D000771:Anesthesia, Intravenous / Q000379:methods*; D006611:High-Frequency Jet Ventilation; D006801:Humans; D008168:Lung / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D015742:Propofol; D011656:Pulmonary Emphysema / Q000503:physiopathology / Q000601:surgery*
D015742:Propofol