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BJA Advance Access published online on February 20, 2006
British Journal of Anaesthesia, 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
Accepted November 6, 2005

Case Report

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

U. Lucangelo 1 *, W. A. Zin 2, V. Antonaglia 1, S. Gramaticopolo 1, M. Maffessanti 3, G. Liguori 4, M. Cortale 4, and A. Gullo 1

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

* To whom correspondence should be addressed.
U. Lucangelo, E-mail: u.lucangelo{at}fmc.units.it


  Abstract

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.

Keywords: complications, bronchial laceration; surgery, pneumonectomy; ventilation, high-frequency percussive.
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