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BJA Advance Access originally published online on February 20, 2006
British Journal of Anaesthesia 2006 96(4):533-536; doi:10.1093/bja/ael026
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

High-frequency percussive ventilation during surgical bronchial repair in a patient with one lung

U. Lucangelo1,*, W. A. Zin4, V. Antonaglia1, S. Gramaticopolo1, M. Maffessanti2, G. Liguori3, M. Cortale3 and A. Gullo1

1Department of Perioperative Medicine, Intensive Care and Emergency, Cattinara Hospital, Trieste University School of Medicine Strada diFiume 447, I-34139 Trieste, Italy
2Department of Radiology, Cattinara Hospital, Trieste University School of Medicine Strada diFiume 447, I-34139 Trieste, Italy
3Department of Surgery, Cattinara Hospital, Trieste University School of Medicine Strada diFiume 447, I-34139 Trieste, Italy
4Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro Rio de Janeiro, Brazil

*Corresponding author. E-mail: u.lucangelo{at}fmc.units.it

We report the case of a patient that had undergone a left pneumonectomy during which a double-lumen tube was used and an undetected right bronchial laceration occurred. After diagnosis the patient underwent a second operation to repair the tear. The role of high-frequency percussive ventilation in enabling adequate gas exchange during the bronchial repair is described and discussed.


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[Abstract] [PDF]


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