High-frequency jet ventilation during video-assisted thoracoscopic surgery in a patient with previous contralateral pneumonectomy

Ishiyama, Tadahiko; Iwashita, Hironobu; Shibuya, Kazuhiro; Terada, Yoshihide; Masamune, Taishi; Nakadate, Yosuke; Matsukawa, Takashi

doi:10.1016/j.jclinane.2012.05.008

Cited by 11 publications

(3 citation statements)

References 13 publications

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“…Despite successful completion of the surgical procedure, this report failed to demonstrate the adequacy of the ventilatory technique as evidenced by a progressive respiratory acidosis and the need for postoperative ventilation. 9 Another report in the Japanese literature appears to discuss a case similar to ours; however, except for an abstract is not available in English. 10 Exposing a patient with a previous pneumonectomy and underlying emphysematous lung disease to the potential of barotrauma related to HFJV carries a significant risk of complications.…”

Section: Discussionmentioning

confidence: 65%

Thoracoscopic Wedge Resection of the Lung Using High-Frequency Jet Ventilation in a Postpneumonectomy Patient

Lohser

McLean²

2013

A & A Case Reports

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A 61-year-old female ex-smoker presented with a suspicious right lower lobe mass after previously undergoing a left pneumonectomy. Due to the peripheral nature of the lung lesion, a right thoracoscopic wedge resection was proposed by the surgical team. Adequate ventilation, oxygenation, and surgical conditions were obtained using high-frequency jet ventilation to the operative lung throughout the procedure. The trachea was extubated in the operating room, and the patient recovered uneventfully from the procedure. This case demonstrates the feasibility of limited thoracoscopic lung resections postpneumonectomy with the use of high-frequency jet ventilation.

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Section: Discussionmentioning

confidence: 65%

Thoracoscopic Wedge Resection of the Lung Using High-Frequency Jet Ventilation in a Postpneumonectomy Patient

Lohser

McLean²

2013

A & A Case Reports

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“…Moreover, HFJV used a single-lumen endotracheal tube as an option for these patients. Ishiyama [ 10 ] reported a case wherein a suitable surgical condition was acquired with an increasing PaCO 2 . However, all these techniques require complicated positioning skills or even a particular airway appliance.…”

Section: Discussionmentioning

confidence: 99%

Case report of non-tracheal intubation—an alternative for postpneumonectomy patients undergoing contralateral pulmonary resection

Deng,

Zeng,

Zhang

2023

J Cardiothorac Surg

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Background Surgery on the contralateral or other lungs after pneumonectomy on one side is highly challenging and complex. It is critical to creating conditions for fluent surgical maneuvers while ensuring adequate ventilation for a patient during such an operation in the same chest cavity that appears incompatible. Case presentation We have reported herein the case of a patient who, following a left pneumonectomy, underwent a right upper pulmonary nodule wedge resection via video-assisted thoracoscopic surgery without requiring endotracheal intubation. We managed ventilation with a laryngeal mask airway under general anesthesia combined with a thoracic epidural block. The diseased lobe collapsed well for the surgical procedure during VATS without hypoxia, after which the resection was safely performed. Conclusions Non-tracheal intubation anesthesia can be a potentially attractive alternative for patients undergoing contralateral pulmonary resection after pneumonectomy.

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“…High-frequency jet ventilation (HFJV) is a modified method from high-frequency positive pressure ventilation. Its usage in thoracic surgery has expanded to many scenarios, including open airway surgeries, thoracoscopic airway surgeries, and interventional procedures for airway stenosis (5)(6)(7). HFJV is an alternative method of airway management that allows for control of oxygenation and has only minimal interference with the surgical field.…”

Section: Introductionmentioning

confidence: 99%

The efficacy of high-frequency jet ventilation on intraoperative oxygen saturation compared to cross-field ventilation in patients undergoing carinal resection and reconstruction

Qiu¹,

Yu²,

Yao³

et al. 2022

J Thorac Dis

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Background: Cross-field ventilation is used as a conventional choice during carinal resection and anastomosis, but may interfere with surgical procedures. High-frequency jet ventilation (HFJV) allows for control of oxygenation in the open airways; nevertheless, there is a paucity of data to support its benefits versus cross-field ventilation. Herein, we aimed to investigate the efficacy of HFJV on intraoperative oxygen saturation compared with cross-field ventilation in patients undergoing carinal surgeries.Methods: We conducted a retrospective analysis of 82 adults who underwent carinal resection and reconstruction (CRR) for benign or malignant diseases and received cross-field ventilation or HFJV at Shanghai Chest Hospital between January 2018 and September 2021. Patients were excluded when they had emergency surgeries or critical airway stenosis requiring extracorporeal life support, or limited resection without the need for cross-field ventilation or HFJV. Patients were classified into two groups based on the airway approach: cross-field ventilation group and HFJV group. The primary outcome was the area under the curve (AUC) of intraoperative hypoxemia defined as peripheral oxygen saturation (SpO 2 ) below 90% lasting at least 1 minute. The secondary outcomes included cumulative time of SpO 2 below 90%, AUC and cumulative time of severe intraoperative hypoxemia (defined as SpO 2 below 80% lasting at least 1 minute), and AUC and cumulative time of suboptimal SpO 2 (defined as SpO 2 below 95% lasting at least 1 minute).Results: Thirty-two patients were included in the final analysis, with 22 patients in cross-field ventilation group and 10 patients in HFJV group. The two groups did not differ in the severity and duration of intraoperative hypoxemia (P=0.366). The median (IQR) AUC of SpO 2 below 90% was 21.92 (4.28, 54.48) min in cross-field ventilation group and 28. 93 (10.78, 199.89) min in HFJV group. The cumulative time of SpO 2 <90% was 16.67 (4.46, 37.11) min in cross-field ventilation group and 19.32 (7.50, 121.24) min in HFJV group, without statistical difference between groups (P>0.05). Severe intraoperative hypoxemia did not occur in either group.Conclusions: This retrospective case series demonstrates that HFJV can be adopted to maintain oxygenation in CRR, without the interruption of surgical procedure.

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High-frequency jet ventilation during video-assisted thoracoscopic surgery in a patient with previous contralateral pneumonectomy

Cited by 11 publications

References 13 publications

Thoracoscopic Wedge Resection of the Lung Using High-Frequency Jet Ventilation in a Postpneumonectomy Patient

Thoracoscopic Wedge Resection of the Lung Using High-Frequency Jet Ventilation in a Postpneumonectomy Patient

Case report of non-tracheal intubation—an alternative for postpneumonectomy patients undergoing contralateral pulmonary resection

The efficacy of high-frequency jet ventilation on intraoperative oxygen saturation compared to cross-field ventilation in patients undergoing carinal resection and reconstruction

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