A case of refractory pneumothorax and contralateral atelectasis after thoracoscopic subtotal esophagectomy treated with independent lung ventilation
Abstract Background Independent lung ventilation (ILV) allows separate positive end-expiratory pressures (PEEP) and inspiratory pressures for each lung. However, only a few articles have reported ILV management for lungs affected by different pathologies. Case presentation A 56-year-old man underwen...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-06-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-022-00537-0 |
| _version_ | 1811328546145042432 |
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| author | Natsuko Hirai Makiko Konda Yusuke Naito Nobuhiro Tanaka Junji Egawa Masahiko Kawaguchi |
| author_facet | Natsuko Hirai Makiko Konda Yusuke Naito Nobuhiro Tanaka Junji Egawa Masahiko Kawaguchi |
| author_sort | Natsuko Hirai |
| collection | DOAJ |
| description | Abstract Background Independent lung ventilation (ILV) allows separate positive end-expiratory pressures (PEEP) and inspiratory pressures for each lung. However, only a few articles have reported ILV management for lungs affected by different pathologies. Case presentation A 56-year-old man underwent video-assisted thoracic surgery for esophageal cancer. The right lung was injured during surgery, causing a bronchopleural fistula and necessitating chest drainage. On the third day in the intensive care unit, the patient’s oxygenation worsened during pressure support with continuous positive airway pressure ventilation. ILV was initiated for right-sided severe pneumothorax and left-sided atelectasis and pneumonia. ILV was continued for 2 days, and the patient’s trachea was successfully extubated the following day. Conclusion Applying high-level PEEP to the one lung and minimizing the airway pressure on the other lung could be achieved using ILV, which might contribute to successful tracheal extubation. |
| first_indexed | 2024-04-13T15:28:09Z |
| format | Article |
| id | doaj.art-ae31232e78694878acaa2b3ae1309794 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-04-13T15:28:09Z |
| publishDate | 2022-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-ae31232e78694878acaa2b3ae13097942022-12-22T02:41:28ZengSpringerOpenJA Clinical Reports2363-90242022-06-01811410.1186/s40981-022-00537-0A case of refractory pneumothorax and contralateral atelectasis after thoracoscopic subtotal esophagectomy treated with independent lung ventilationNatsuko Hirai0Makiko Konda1Yusuke Naito2Nobuhiro Tanaka3Junji Egawa4Masahiko Kawaguchi5Department of Anesthesiology, Nara Medical UniversityDepartment of Anesthesiology, Nara Medical UniversityDepartment of Anesthesiology, Nara Medical UniversityDepartment of Anesthesiology, Nara Medical UniversityDepartment of Anesthesiology, Nara Medical UniversityDepartment of Anesthesiology, Nara Medical UniversityAbstract Background Independent lung ventilation (ILV) allows separate positive end-expiratory pressures (PEEP) and inspiratory pressures for each lung. However, only a few articles have reported ILV management for lungs affected by different pathologies. Case presentation A 56-year-old man underwent video-assisted thoracic surgery for esophageal cancer. The right lung was injured during surgery, causing a bronchopleural fistula and necessitating chest drainage. On the third day in the intensive care unit, the patient’s oxygenation worsened during pressure support with continuous positive airway pressure ventilation. ILV was initiated for right-sided severe pneumothorax and left-sided atelectasis and pneumonia. ILV was continued for 2 days, and the patient’s trachea was successfully extubated the following day. Conclusion Applying high-level PEEP to the one lung and minimizing the airway pressure on the other lung could be achieved using ILV, which might contribute to successful tracheal extubation.https://doi.org/10.1186/s40981-022-00537-0Independent lung ventilationPositive end-expiratory pressuresPneumothoraxAtelectasisPneumoniaDifferent lung diseases |
| spellingShingle | Natsuko Hirai Makiko Konda Yusuke Naito Nobuhiro Tanaka Junji Egawa Masahiko Kawaguchi A case of refractory pneumothorax and contralateral atelectasis after thoracoscopic subtotal esophagectomy treated with independent lung ventilation JA Clinical Reports Independent lung ventilation Positive end-expiratory pressures Pneumothorax Atelectasis Pneumonia Different lung diseases |
| title | A case of refractory pneumothorax and contralateral atelectasis after thoracoscopic subtotal esophagectomy treated with independent lung ventilation |
| title_full | A case of refractory pneumothorax and contralateral atelectasis after thoracoscopic subtotal esophagectomy treated with independent lung ventilation |
| title_fullStr | A case of refractory pneumothorax and contralateral atelectasis after thoracoscopic subtotal esophagectomy treated with independent lung ventilation |
| title_full_unstemmed | A case of refractory pneumothorax and contralateral atelectasis after thoracoscopic subtotal esophagectomy treated with independent lung ventilation |
| title_short | A case of refractory pneumothorax and contralateral atelectasis after thoracoscopic subtotal esophagectomy treated with independent lung ventilation |
| title_sort | case of refractory pneumothorax and contralateral atelectasis after thoracoscopic subtotal esophagectomy treated with independent lung ventilation |
| topic | Independent lung ventilation Positive end-expiratory pressures Pneumothorax Atelectasis Pneumonia Different lung diseases |
| url | https://doi.org/10.1186/s40981-022-00537-0 |
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