Anaesthesia and ventilation strategy in a horse undergoing pulmonectomy |
| |
| Authors: | S. H. Bauquier S. Dusavage B. Driessen |
| |
| Affiliation: | 1. Section of Anesthesia & Critical Care, Department of Clinical Studies‐New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, 382 West Street Road, Kennett Square, Pennsylvania 19348, USA.;2. Author to whom correspondence should be addressed. |
| |
| Abstract: | A 7‐year‐old, 430 kg Standardbred gelding was presented to the hospital with severe bilateral purulent pleuropneumonia requiring partial pulmonectomy. Prior to surgery the trachea was intubated through a tracheotomy site using a customised tube (10 mm internal diameter)‐in‐tube (26 mm internal diameter) endotracheal tube, similar to a bronchial blocker tube in design. The left lung was selectively mechanically ventilated. Thoracotomy was performed and a major lung abscess and surrounding lung tissue were resected. Arterial PO2 and PCO2 remained 79–305 and 43–72 mmHg, respectively, and haemodynamic variables within a range acceptable for general anaesthesia in the horse. A 5 month follow‐up revealed complete resolution of the pleuropneumonia without signs of recurrence. |
| |
| Keywords: | horse one‐lung ventilation septic pleuropneumonia thoracotomy subtotal pulmonectomy |
|
|
