Peer-reviewed veterinary case report
Dog with lung bulla treated with one lung ventilation and CPAP
By Adami, Chiara et al.·Published in Veterinary anaesthesia and analgesia·2011·Department of Clinical Veterinary Science·View original on PubMed →
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Original publication title: Alternating one lung ventilation using a double lumen endobronchial tube and providing CPAP to the non-ventilated lung in a dog.
- Species:
- dog
Plain-English summary
A 6-year-old male Border collie was brought in for surgery to investigate a lung problem called spontaneous pneumothorax, which had not improved with previous treatments. During the procedure, the veterinary team used a special breathing tube to ventilate one lung at a time while providing extra oxygen to the other lung to prevent breathing issues. This method allowed them to successfully remove the affected part of the lung and check for any other problems. The surgery went well, and the techniques used helped keep the dog stable throughout the operation.
People also search for: dog lung surgery · Border collie pneumothorax treatment · dog breathing problems during surgery
Abstract
INTRODUCTION: This case report describes the anaesthetic management of exploratory thoracoscopy and alternating one lung ventilation (OLV) in a dog with a pulmonary bulla, and the application of continuous positive airway pressure (CPAP) to the non-ventilated lung for preventing and treating hypoxia. CASE HISTORY: A 6-year-old, male castrated Border collie was scheduled for exploratory thoracoscopy to investigate spontaneous pnemothorax that had not resolved with repeated suction. Specific requirements for the thoracoscopy were alternating OLV to allow the surgical access to the right middle lobe and its removal, and the examination of the left hemithorax to rule out the presence of other lesions. DIAGNOSIS AND MANAGEMENT: Selective lung ventilation was performed with a double lumen endobronchial tube (DLT), inserted under endoscopic guidance. After a short period of two lung ventilation during preparation of the surgical field, alternating OLV was performed, combining CPAP, provided to the non-ventilated lung via a Mapleson D breathing system, and positive end-expiratory pressure (PEEP) applied to the ventilated lung. Left OLV occurred first and resection of the right middle pulmonary lobe was successfully performed; right OLV followed to allow the examination of the left hemithorax. DISCUSSION AND CONCLUSIONS: The combination of CPAP and PEEP resulted in a satisfactory intra-operative management of hypoxemia. Alternating OLV can be performed successfully by using a DLT. CPAP, commonly employed in human medicine, should be considered an important tool in the anaesthetic management of OLV in small animals.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/21214712/