Anesthesia for extracorporeal membrane oxygenation-assisted thoracoscopic lower lobe subsegmental resection in a patient with a single left lung:A case report
作者机构：Department of AnesthesiologyPeople's Hospital Affiliated to Fujian University of Traditional Chinese MedicineFuzhou 350004Fujian 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18期
页 面：4368-4376页
核心收录：
学科分类：1002[医学-临床医学] 100217[医学-麻醉学] 10[医学]
基 金：Supported by the Special Scientific Research Project of the National Traditional Chinese Medicine Clinical Research Base No.JDZX201926
主 题：Left single lung Subpulmonary segmental resection Extracorporeal membrane oxygenation Thoracoscopic Anesthesia Case report
摘 要：BACKGROUND It is difficult and risky for patients with a single lung to undergo thoracoscopic segmental pneumonectomy,and previous reports of related cases are *** introduce anesthesia for Extracorporeal membrane oxygenation(ECMO)-assisted thoracoscopic lower lobe subsegmental resection in a patient with a single left *** SUMMARY The patient underwent comprehensive treatment for synovial sarcoma of the right lung and nodules in the lower lobe of the left *** showed pulmonary function that had severe restrictive ventilation disorder,forced expiratory volume in 1 second of 0.72 L(27.8%),forced vital capacity of 1.0 L(33%),and maximal voluntary ventilation of 33.9 L(35.5%).Lung computed tomography showed a nodular shadow in the lower lobe of the left lung,and lung metastasis was *** multidisciplinary consultation and adequate preoperative preparation,thoracoscopic left lower lung lobe S9bii+S10bii combined subsegmental resection was performed with the assistance of total intravenous anesthesia and ECMO intraoperative pulmonary protective *** patient received postoperative ICU supportive *** surgical treatment,the patient was successfully withdrawn from ECMO on postoperative Day *** tracheal tube was removed on postoperative Day 4,and she was discharged from the hospital on postoperative Day *** The multi-disciplinary treatment provided maximum medical optimization for surgical anesthesia and veno-venous ECMO which provided adequate protection for the patient s perioperative treatment.
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