title: High-frequency jet ventilation during video-assisted thoracoscopic surgery in a patient with previous contralateral pneumonectomy.
abstract: A case of high-frequency jet ventilation (HFJV) during video-assisted thoracoscopic surgery (VATS) in a patient with previous contralateral pneumonectomy is presented. A 77-year-old man with a right pneumothorax was scheduled for bullectomy by VATS. He had undergone left pneumonectomy due to lung cancer 6 years earlier. Anesthesia was induced and maintained with propofol and fentanyl. The patient was intubated with a normal, single-lumen endotracheal tube (ETT). HFJV was applied through the ETT during the VATS procedure. Although PaCO(2) gradually increased from 51.9 mmHg to 80.0 mmHg, appropriate surgical conditions were provided, PaO(2) was well preserved, and blood pressure and heart rate were stable throughout the VATS procedure.
authors.affiliation: Surgical Center, University of Yamanashi Hospital, University of Yamanashi, Yamanashi 409-3898, Japan. ishiyama@yamanashi.ac.jp
authors.forename: Tadahiko
authors.initials: T
authors.lastname: Ishiyama
authors.forename: Hironobu
authors.initials: H
authors.lastname: Iwashita
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Shibuya
authors.forename: Yoshihide
authors.initials: Y
authors.lastname: Terada
authors.forename: Taishi
authors.initials: T
authors.lastname: Masamune
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Nakadate
authors.forename: Takashi
authors.initials: T
authors.lastname: Matsukawa
mesh_terms: D000368:Aged; D002245:Carbon Dioxide / Q000097:blood; D006611:High-Frequency Jet Ventilation / Q000379:methods*; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D010313:Partial Pressure; D011013:Pneumonectomy; D011030:Pneumothorax / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*
chemical_list: D002245:Carbon Dioxide