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[Thoracoscopic thymectomy with carbon dioxide insufflation in the mediastinum].
- Source :
-
Revista espanola de anestesiologia y reanimacion [Rev Esp Anestesiol Reanim] 2015 Feb; Vol. 62 (2), pp. 108-10. Date of Electronic Publication: 2014 Jun 19. - Publication Year :
- 2015
-
Abstract
- The case is presented of a 71 year-old male, diagnosed with a thymoma. A thoracoscopic thymectomy was performed using the carbon dioxide insufflation technique in the mediastinum. During the procedure, while performing one-lung ventilation, the patient's respiration worsened. The contralateral lung had collapsed, as carbon dioxide was travelling from the mediastinum to the thorax through the opened pleura. Two-lung ventilation was decided upon, which clearly improved oxygenation in the arterial gases and airway pressures. Both pH and pCO2 stabilized. The surgical approach and the carbon dioxide technique were continued because 2-lung ventilation did not affect the surgical procedure. This technique has many serious complications and it should always be performed using 2-lung ventilation.<br /> (Copyright © 2014 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Subjects :
- Aged
Carbon Dioxide
Humans
Insufflation
Male
One-Lung Ventilation
Pleura injuries
Thymoma surgery
Thymus Neoplasms surgery
Intraoperative Complications etiology
Pneumomediastinum, Diagnostic adverse effects
Pulmonary Atelectasis etiology
Respiratory Insufficiency etiology
Thoracoscopy methods
Thymectomy methods
Subjects
Details
- Language :
- English; Spanish; Castilian
- ISSN :
- 2340-3284
- Volume :
- 62
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Revista espanola de anestesiologia y reanimacion
- Publication Type :
- Academic Journal
- Accession number :
- 24952826
- Full Text :
- https://doi.org/10.1016/j.redar.2014.05.006