Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan; Department of Surgery, National Taiwan University Hospital Yunlin Branch, Yunlin County, Taiwan.
Department of Anesthesiology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan; Department of Anesthesiology, Cancer Center, National Taiwan University, Taipei, Taiwan.
Ann Thorac Surg. 2020 Apr;109(4):e301-e303. doi: 10.1016/j.athoracsur.2019.10.040. Epub 2019 Dec 9.
The aim of this study is to describe the technique of pulmonary expansion by suction control from a surgical wound during nonintubated uniportal video-assisted thoracic surgery. Five patients developed oxygen desaturation intraoperatively even with facial mask ventilation. Oxygenation was completed after 3 minutes with the suction technique through the uniportal wound. All the patients underwent the operation under spontaneous ventilation, without conversion to endotracheal intubation. The suction ventilation technique can provide an alternative solution during deoxygenation conditions of nonintubated video-assisted thoracic surgery.
本研究旨在描述非插管单孔电视辅助胸腔手术中通过外科伤口控制吸引来扩张肺部的技术。 5 名患者即使在面罩通气下仍出现术中氧饱和度降低。 通过单孔伤口进行吸引技术 3 分钟后，氧合完成。所有患者均在自主通气下进行手术，无需转为气管插管。在非插管电视辅助胸腔手术的缺氧情况下，吸引通气技术可以提供一种替代解决方案。
