Peer-reviewed veterinary case report
Dog with bronchial tumor treated by one-lung ventilation and endoscopy
By Mosing, Martina et al.·Published in Veterinary surgery : VS·2008·Clinic of Anaesthesiology and Perioperative Intensive Care·View original on PubMed →
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Original publication title: Endoscopic removal of a bronchial carcinoma in a dog using one-lung ventilation.
- Species:
- dog
Plain-English summary
A Cocker Spaniel with a bronchial tumor that was partially blocking its airway underwent a special procedure to remove the cancer. To safely perform the surgery, the veterinarian used a special breathing tube that allowed them to ventilate only one lung while using electrosurgery. The surgery was successful, and although the dog had some breathing challenges during the procedure, it was able to have the tumor removed. This approach may be a good option for similar cases in the future.
People also search for: Cocker Spaniel bronchial tumor treatment · dog lung cancer surgery · bronchial carcinoma in dogs
Abstract
OBJECTIVE: To describe anesthetic management of endoscopic electrosurgical removal of a bronchial carcinoma, partially blocking the right main stem bronchus in a Cocker Spaniel. STUDY DESIGN: Clinical case report. ANIMALS: Dog with a bronchial carcinoma. METHODS: To allow sufficient space for the endoscope and to avoid an oxygen-rich gas mixture in the trachea, which carries the risk of an airway fire when electrocautery is used, a 1 lumen endobronchial tube (EBT) was inserted into the left main stem bronchus. One-lung ventilation (OLV) started with a volume-controlled ventilator was switched to pressure-controlled ventilation in combination with positive end-expiratory pressure (PEEP). RESULTS: Resection of the bronchial carcinoma was successful. The dog was hypercapnic throughout the procedure and a high alveolar-arterial oxygen gradient was measured. CONCLUSION: An EBT may be a feasible and safe option to provide OLV for bronchoscopic electrocautery with a closed thoracic cavity in dogs. CLINICAL RELEVANCE: EBT intubation for OLV should be considered as part of the anesthetic management of airway diseases treated with bronchoscopic electrocautery.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/18394067/