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Anaesthesia and ventilation strategy in a horse undergoing pulmonectomy
Author(s) -
Bauquier S. H.,
Dusavage S.,
Driessen B.
Publication year - 2010
Publication title -
equine veterinary education
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 31
eISSN - 2042-3292
pISSN - 0957-7734
DOI - 10.1111/j.2042-3292.2010.00072.x
Subject(s) - medicine , anesthesia , endotracheal tube , thoracotomy , horse , tracheotomy , surgery , mechanical ventilation , pleuropneumonia , general anaesthesia , lung , intubation , radiology , paleontology , biology
Summary 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 PO 2 and PCO 2 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.