One-Lung Jet Ventilation for Robotic-Assisted Tracheal Resection in Close Proximity to the Carina: A Case Report

This case report describes a novel ventilation method to safely accommodate robotic-assisted tracheobronchial surgery. The patient with a tracheal tumor 2.5 cm above the carina underwent a robotic-assisted tracheal resection. Single-lung jet ventilation was performed using the Monsoon Jet Ventilator during the tracheal resection and anastomosis. This allowed the surgeon to operate without interruption by eliminating an intermittent apneic technique. Through a small chest incision, the surgeon robotically advanced a Laserjet 40 tube into the transected end of the distal trachea. The endotracheal tube was directed into the left main bronchus and the patient was successfully managed with single-lung jet ventilation.