Thoracoscopic thymectomy with carbon dioxide insufflation in the mediastinum
The case is presented of a 71 year-old male, diagnosed with a thymoma. A thoracoscopic thymectomy was performed using the carbon dioxide insufflation technique in the mediastinum. During the procedure, while performing one-lung ventilation, the patient's respiration worsened. The contralateral...
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| Veröffentlicht in: | Revista española de anestesiología y reanimación 2015-02, Vol.62 (2), p.108-110 |
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| container_title | Revista española de anestesiología y reanimación |
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| creator | Ferrero-Coloma, C Navarro-Martinez, J Bolufer, S Rivera-Cogollos, M J Alonso-García, F J Tarí-Bas, M I |
| description | The case is presented of a 71 year-old male, diagnosed with a thymoma. A thoracoscopic thymectomy was performed using the carbon dioxide insufflation technique in the mediastinum. During the procedure, while performing one-lung ventilation, the patient's respiration worsened. The contralateral lung had collapsed, as carbon dioxide was travelling from the mediastinum to the thorax through the opened pleura. Two-lung ventilation was decided upon, which clearly improved oxygenation in the arterial gases and airway pressures. Both pH and pCO2 stabilized. The surgical approach and the carbon dioxide technique were continued because 2-lung ventilation did not affect the surgical procedure. This technique has many serious complications and it should always be performed using 2-lung ventilation. |
| doi_str_mv | 10.1016/j.redar.2014.05.006 |
| format | Article |
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A thoracoscopic thymectomy was performed using the carbon dioxide insufflation technique in the mediastinum. During the procedure, while performing one-lung ventilation, the patient's respiration worsened. The contralateral lung had collapsed, as carbon dioxide was travelling from the mediastinum to the thorax through the opened pleura. Two-lung ventilation was decided upon, which clearly improved oxygenation in the arterial gases and airway pressures. Both pH and pCO2 stabilized. The surgical approach and the carbon dioxide technique were continued because 2-lung ventilation did not affect the surgical procedure. This technique has many serious complications and it should always be performed using 2-lung ventilation.</description><identifier>EISSN: 2340-3284</identifier><identifier>DOI: 10.1016/j.redar.2014.05.006</identifier><identifier>PMID: 24952826</identifier><language>eng ; spa</language><publisher>Spain</publisher><subject>Aged ; Carbon Dioxide ; Humans ; Insufflation ; Intraoperative Complications - etiology ; Male ; One-Lung Ventilation ; Pleura - injuries ; Pneumomediastinum, Diagnostic - adverse effects ; Pulmonary Atelectasis - etiology ; Respiratory Insufficiency - etiology ; Thoracoscopy - methods ; Thymectomy - methods ; Thymoma - surgery ; Thymus Neoplasms - surgery</subject><ispartof>Revista española de anestesiología y reanimación, 2015-02, Vol.62 (2), p.108-110</ispartof><rights>Copyright © 2014 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. 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A thoracoscopic thymectomy was performed using the carbon dioxide insufflation technique in the mediastinum. During the procedure, while performing one-lung ventilation, the patient's respiration worsened. The contralateral lung had collapsed, as carbon dioxide was travelling from the mediastinum to the thorax through the opened pleura. Two-lung ventilation was decided upon, which clearly improved oxygenation in the arterial gases and airway pressures. Both pH and pCO2 stabilized. The surgical approach and the carbon dioxide technique were continued because 2-lung ventilation did not affect the surgical procedure. This technique has many serious complications and it should always be performed using 2-lung ventilation.</description><subject>Aged</subject><subject>Carbon Dioxide</subject><subject>Humans</subject><subject>Insufflation</subject><subject>Intraoperative Complications - etiology</subject><subject>Male</subject><subject>One-Lung Ventilation</subject><subject>Pleura - injuries</subject><subject>Pneumomediastinum, Diagnostic - adverse effects</subject><subject>Pulmonary Atelectasis - etiology</subject><subject>Respiratory Insufficiency - etiology</subject><subject>Thoracoscopy - methods</subject><subject>Thymectomy - methods</subject><subject>Thymoma - surgery</subject><subject>Thymus Neoplasms - surgery</subject><issn>2340-3284</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kEtrwzAQhEWhNCHNLygUH3uxq8dasY4l9AWGXtKz0ctEwbZcSabNv6-g6V4Wlm-WmUHojuCKYMIfT1WwRoaKYgIVriuM-RVaUwa4ZLSBFdrGeMJ5eI0p1DdoRUHUtKF8jdrD0QepfdR-drpIx_NodfLjufh26VhoGZSfCuP8jzO2cFNc-n6QyeWjmzJui9EaJ2Ny0zLeouteDtFuL3uDPl-eD_u3sv14fd8_teVMgKSSCTBY891O7pSAhlPRk5orKhoQvBHScshJLMNgqGVKkcwxoFaZLBd9zzbo4e_vHPzXYmPqRhe1HQY5Wb_EjvCaAm4aBhm9v6CLyk67ObhRhnP33wD7BR3pXeg</recordid><startdate>201502</startdate><enddate>201502</enddate><creator>Ferrero-Coloma, C</creator><creator>Navarro-Martinez, J</creator><creator>Bolufer, S</creator><creator>Rivera-Cogollos, M J</creator><creator>Alonso-García, F J</creator><creator>Tarí-Bas, M I</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201502</creationdate><title>Thoracoscopic thymectomy with carbon dioxide insufflation in the mediastinum</title><author>Ferrero-Coloma, C ; Navarro-Martinez, J ; Bolufer, S ; Rivera-Cogollos, M J ; Alonso-García, F J ; Tarí-Bas, M I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-394d0c677a7b948629f156b29849689ae64014e304d2e3bb1a7b342ebd1419ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; spa</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Carbon Dioxide</topic><topic>Humans</topic><topic>Insufflation</topic><topic>Intraoperative Complications - etiology</topic><topic>Male</topic><topic>One-Lung Ventilation</topic><topic>Pleura - injuries</topic><topic>Pneumomediastinum, Diagnostic - adverse effects</topic><topic>Pulmonary Atelectasis - etiology</topic><topic>Respiratory Insufficiency - etiology</topic><topic>Thoracoscopy - methods</topic><topic>Thymectomy - methods</topic><topic>Thymoma - surgery</topic><topic>Thymus Neoplasms - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferrero-Coloma, C</creatorcontrib><creatorcontrib>Navarro-Martinez, J</creatorcontrib><creatorcontrib>Bolufer, S</creatorcontrib><creatorcontrib>Rivera-Cogollos, M J</creatorcontrib><creatorcontrib>Alonso-García, F J</creatorcontrib><creatorcontrib>Tarí-Bas, M I</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revista española de anestesiología y reanimación</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferrero-Coloma, C</au><au>Navarro-Martinez, J</au><au>Bolufer, S</au><au>Rivera-Cogollos, M J</au><au>Alonso-García, F J</au><au>Tarí-Bas, M I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thoracoscopic thymectomy with carbon dioxide insufflation in the mediastinum</atitle><jtitle>Revista española de anestesiología y reanimación</jtitle><addtitle>Rev Esp Anestesiol Reanim</addtitle><date>2015-02</date><risdate>2015</risdate><volume>62</volume><issue>2</issue><spage>108</spage><epage>110</epage><pages>108-110</pages><eissn>2340-3284</eissn><abstract>The case is presented of a 71 year-old male, diagnosed with a thymoma. 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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Aged Carbon Dioxide Humans Insufflation Intraoperative Complications - etiology Male One-Lung Ventilation Pleura - injuries Pneumomediastinum, Diagnostic - adverse effects Pulmonary Atelectasis - etiology Respiratory Insufficiency - etiology Thoracoscopy - methods Thymectomy - methods Thymoma - surgery Thymus Neoplasms - surgery |
| title | Thoracoscopic thymectomy with carbon dioxide insufflation in the mediastinum |
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