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Published on: July 9, 2020
Anesthetic Management of Pleurectomy/Decortication Under Differential Lung Ventilation
Hiroko Kimura1, Teruyuki Hiraki1, Sayo Arata1
1Department of Anesthesiology, Kurume University School of Medicine.
Abstract:
A 64-year-old male (a building demolition worker) was diagnosed with malignant left-sided pleural mesothelioma, and left-sided pleurectomy/decortication was scheduled. Differential lung ventilation (DLV) was performed during the removal of the visceral pleura by connecting the affected lung to a ventilator and the healthy lung to an anesthesia machine, and then separately ventilating the left and right lungs. Anesthetic management using DLV was successfully established without causing significant changes in oxygenation or circulatory dynamics.
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