Suction Ventilation for Uniportal Video-Assisted Thoracic Surgery Without Endotracheal Intubation

Pei-Ming Huang; Wen-Ying Lin

doi:10.1016/j.athoracsur.2019.10.040

Suction Ventilation for Uniportal Video-Assisted Thoracic Surgery Without Endotracheal Intubation

Ann Thorac Surg. 2020 Apr;109(4):e301-e303. doi: 10.1016/j.athoracsur.2019.10.040. Epub 2019 Dec 9.

Authors

Pei-Ming Huang¹, Wen-Ying Lin²

Affiliations

¹ 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. Electronic address: phuang3@ntuh.com.tw.
² 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.

PMID: 31821809
DOI: 10.1016/j.athoracsur.2019.10.040

Abstract

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.

MeSH terms

Adult
Aged
Humans
Intraoperative Care / methods*
Intubation, Intratracheal
Middle Aged
Respiration, Artificial / methods*
Suction*
Thoracic Surgery, Video-Assisted / methods*