Endoscopic Removal of a Bronchial Carcinoma in a Dog Using One-Lung Ventilation
Article first published online: 3 APR 2008
© Copyright 2008 by The American College of Veterinary Surgeons
Volume 37, Issue 3, pages 222–225, April 2008
How to Cite
MOSING, M., IFF, I. and MOENS, Y. (2008), Endoscopic Removal of a Bronchial Carcinoma in a Dog Using One-Lung Ventilation. Veterinary Surgery, 37: 222–225. doi: 10.1111/j.1532-950X.2008.00369.x
- Issue published online: 3 APR 2008
- Article first published online: 3 APR 2008
- Submitted: May 2007 Accepted: December 2007
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.