Pezzer Catheter to Provide One-Lung Ventilation During Tracheobronchial Surgery
Journal Title: Journal of Clinical and Analytical Medicine - Year 2011, Vol 2, Issue 3
Abstract
Aim One-Lung Ventilation (OLV) is widely used in a variety of cardiac, thoracic, and major vascular procedures to ventilate an isolated lung field in humans and dogs. Endobronchial tubes, endobronchial blockers, and single-lumen tubes are commonly using equipments for OLV. Material and Methods Conventional one-lung intermittent positive-pressure ventilation (OL-IPPV) has been a valuable technique during anaesthesia for intrathoracic operations in humans and dogs. Here, our experience resulted in the usage of Pezzer catheter to establish OLV in dogs, while performing tracheobronchial resection. OLV was successfully established with Pezzer catheter in 12 dogs. All application was performed by the same surgeon. An optimal diameter Pezzer catheter was selected to insert into the lumen of the trachea and the main bronchus. The length of the catheter was prepared and middle point of the head of the catheter was cut at the level of holes on it. Following tracheobronchial resection, the cut head was inserted into the trachea with a clamp and end of the catheter was instantly inserted the main bronchus (Figure 1). Sutures were prepared interruptedly and passed between the trachea and the main bronchus. Before sutures were started the ligation tightly, Pezzer catheter was removed in the lumen and than ligations were completed. Results No accidental episode was encountered during the manipulation. OLV was successfully established, and the mean oxygen saturation range and end tidal carbon dioxide concentration was 95% and 37-41% before and after insertion of the Pezzer catheter, respectively. The respiratory modes during the surgery were not need to change. Discussion OLV is essential in the tracheaobronchial resections. Here, the Pezzer catheter is presented to obtain OLV. It has been concluded that Pezzer catheter is a very practical and reliable method and it can be choice for cases which require OLV.
Authors and Affiliations
M. Muharrem Erol, Hakan Salcı, A. Sami Bayram
İdrar Kaçırma için Şaşırtıcı Bir Girişim
İdrar kaçırma şikayeti olan kadınların çoğunluğu, çok sayıda tedavi seçeneği olmasına rağmen, tedavi için başvurmamaktadır. İdrar kaçırmanın tedavisi için kendi kendine ceviz kullanan bir kadın hasta olgusunu sunmaktay...
The Effect of Nicotine Dependence Level and Educational Level on Occurrence of Lower Respiratory Tract Infection
Aim There are a lot of risk factors which effect occurence of lower respiratory tract infection (LRTI). We aimed to research through case-control study the effect of nicotine dependence level (NDL) and educational lev...
Şant Cerrahisinden Sonra Geç Dönemde Barsak Perforasyonu: Olgu Sunumu
Ventriküloperitoneal şant cerrahisi hidrosefalusun tedavisinde yaygın kullanılan işlemdir. Bu invaziv işlem geç dönemde birkaç abdominal komplikasyonla birliktedir. Peritoneal kateter ile spontan barsak perforasyonu na...
Spontan Pnömotoraks: 260 Hastanın Analizi
Amaç: Bu araştırmada hastanemizde primer ve sekonder pnömotoraks tanısı ile takip edilen hastaların etiyolojik nedenleri ve tedavi yöntemleri arasındaki farklılıkların ortaya konması amaçlanmıştır. Gereç ve Yöntem: Oca...
Delayed Encephalopathy Associated with Carbon Monoxide Intoxication
Acute carbon monoxide intoxication may cause coma and death. Patients usually recovier within days aſter prompt therapy. However, in a small number of patients, severe clinical deterioration may develop aſter a period with...