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微创冠状动脉旁路移植术中的选择性肺叶阻断:对呼吸储备低、无法进行单肺通气的患者的一项技术优势。

Selective lobar blockade in minimally invasive coronary artery bypass grafting: A technical advantage in patients with low respiratory reserve that precludes one-lung ventilation.

作者信息

Agrawal Dharmesh Radheshyam, Nambala Sathyaki, Fartado Arul

机构信息

Department of Cardiac Anesthesiology, Apollo Hospital, Bengaluru, Karnataka, India.

Department of Cardiothorasic Surgery, Apollo Hospital, Bengaluru, Karnataka, India.

出版信息

Ann Card Anaesth. 2016 Jul-Sep;19(3):542-4. doi: 10.4103/0971-9784.185560.

Abstract

Minimally invasive cardiac surgery/coronary artery bypass grafting (MICS CABG) is performed through a small 2 inch left thoracotomy incision. Lung isolation is must during MICS CABG. Oxygenation with one-lung ventilation can be difficult, especially during supine position. We report a case of a 53-year-old male patient who underwent MICS CABG with the selective lobar blockade.

摘要

微创心脏手术/冠状动脉旁路移植术(MICS CABG)通过一个2英寸的左胸壁小切口进行。在MICS CABG过程中必须进行肺隔离。单肺通气氧合可能困难,尤其是在仰卧位时。我们报告一例53岁男性患者,其接受了选择性肺叶阻滞下的MICS CABG。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ab/4971990/074fbce78283/ACA-19-542-g001.jpg

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