Continuous positive airway pressure for treating hypoxemia due to pulmonary vein injury:A case report
作者机构：Department of AnesthesiologyThe Fourth Hospital of Hebei Medical UniversityShijiazhuang 050001Hebei ProvinceChina Department of RespiratoryThe Fourth Hospital of Hebei Medical UniversityShijiazhuang 050011Hebei ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2023年第11卷第8期
页 面：1830-1836页
核心收录：
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 100217[医学-麻醉学] 10[医学]
主 题：Vascular injury Continuous positive airway pressure Hypoxemia Bronchial blocker Esophageal carcinoma resection Case report
摘 要：BACKGROUND Vascular injury during thoracoscopic surgery for esophageal cancer is a rare but life-threatening complication that can lead to severe hypotension and *** need to provide rapid and effective treatment to save patients *** SUMMARY A 54-year-old male patient was scheduled to undergo a thoracoscopic-assisted radical resection of esophageal cancer through the upper abdomen and right *** dissociating the esophagus from the carina through the right chest,unexpected profuse bleeding occurred from a suspected pulmonary vascular *** the surgeon attempted to achieve hemostasis,the patient developed severe *** anesthesiologist implemented continuous positive airway pressure(CPAP)using a bronchial blocker(BB),which effectively improved the patient’s oxygenation and the operation was completed *** CPAP using a BB can resolve severe hypoxemia caused by accidental injury of the left inferior pulmonary vein during surgery.
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