One lung ventilation in endoscopic transthoracic sympathectomy.
Endoscopic transthoracic sympathectomy currently requires one lung anaesthesia to facilitate access to the thoracic sympathetic chain. This may cause reduced perioperative arterial oxygen saturation. We describe a series of patients in which the collapsed lung is kept partially inflated using continuous positive airway pressure (CPAP) with 100% oxygen. This modification of anaesthetic technique enabled a normal arterial oxygen saturation to be maintained thus preventing operative delays whilst the lung was reinflated to restore adequate oxygen saturation.
Andrews
S M
SM
Department of General Surgery, Kings College Hospital, Denmark Hill, London, UK.
Bras
P
P
Rennie
J A
JA
D006801:Humans; D011175:Positive-Pressure Respiration; D012189:Retrospective Studies; D013562:Sympathectomy / Q000379:methods; D013906:Thoracoscopy