Endoscopic removal of a bronchial carcinoma in a dog using one-lung ventilation.
OBJECTIVE
To describe anesthetic management of endoscopic electrosurgical removal of a bronchial carcinoma, partially blocking the right main stem bronchus in a Cocker Spaniel.


METHODS
Clinical case report.


METHODS
Dog with a bronchial carcinoma.


METHODS
To allow sufficient space for the endoscope and to avoid an oxygen-rich gas mixture in the trachea, which carries the risk of an airway fire when electrocautery is used, a 1 lumen endobronchial tube (EBT) was inserted into the left main stem bronchus. One-lung ventilation (OLV) started with a volume-controlled ventilator was switched to pressure-controlled ventilation in combination with positive end-expiratory pressure (PEEP).


RESULTS
Resection of the bronchial carcinoma was successful. The dog was hypercapnic throughout the procedure and a high alveolar-arterial oxygen gradient was measured.


CONCLUSIONS
An EBT may be a feasible and safe option to provide OLV for bronchoscopic electrocautery with a closed thoracic cavity in dogs.


CONCLUSIONS
EBT intubation for OLV should be considered as part of the anesthetic management of airway diseases treated with bronchoscopic electrocautery.
Mosing
Martina
M
Clinic of Anaesthesiology and Perioperative Intensive Care, University of Veterinary Medicine Vienna, Veterinärplatz 1, A-1210 Vienna, Austria. Martina@mosing.at
Iff
Isabelle
I
Moens
Yves
Y
D000768:Anesthesia, General / Q000295:instrumentation / Q000379:methods / Q000662:veterinary*; D000818:Animals; D002283:Carcinoma, Bronchogenic / Q000601:surgery / Q000662:veterinary*; D004283:Dog Diseases / Q000601:surgery*; D004285:Dogs; D004564:Electrocoagulation / Q000379:methods / Q000662:veterinary; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods / Q000662:veterinary; D008175:Lung Neoplasms / Q000601:surgery / Q000662:veterinary*; D008297:Male; D012121:Respiration, Artificial / Q000662:veterinary*; D019616:Thoracic Surgical Procedures / Q000379:methods / Q000662:veterinary; D016896:Treatment Outcome