title: [Anesthetic management of surgical intervention for contralateral pneumothorax after left pneumonectomy].
abstract: A 61-year-old man who had undergone left pneumonectomy 7 years before for lung cancer was scheduled for thoracoscopic partial pulmonary resection of the right lung because of pneumothorax. Anesthesia was induced with propofol and maintained with sevoflurane and thoracic epidural block. He was monitored with electrocardiogram, direct arterial pressure, pulse oximetry and capnogram. Arterial blood gas sampling was done as required. During the operation, ventilation was maintained with mechanical and intermittent manual ventilation. Hemodynamic status was stable and intra- and post-operative course was uneventful. PCPS, ECLS, CVC and PAC were not required. A successful and satisfactory anesthetic management was accomplished by good cooperation between anesthesiologists and surgeons.
authors.affiliation: Department of Anesthesiology, School of Medicine, Juntendo University, Tokyo 113-8421.
authors.forename: Osamu
authors.initials: O
authors.lastname: Kudoh
authors.forename: Seijirou
authors.initials: S
authors.lastname: Sonoda
authors.forename: Akiko
authors.initials: A
authors.lastname: Yoshikawa
authors.forename: Haruo
authors.initials: H
authors.lastname: Arita
authors.forename: Kunihisa
authors.initials: K
authors.lastname: Miura
authors.forename: Toyoki
authors.initials: T
authors.lastname: Kugimiya
mesh_terms: D000758:Anesthesia; D006801:Humans; D033183:Interdisciplinary Communication; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D011013:Pneumonectomy / Q000379:methods*; D011030:Pneumothorax / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D013906:Thoracoscopy