Open AccessOptimization of anesthetic tactics in the surgical treatment of multiple primary non-small cell lung cancer
Author(s) -
С. Н. Тихонова,
Д. А. Розенко,
Н. Д. Ушакова,
Н. Н. Попова,
A. M. Skopintsev,
А. В. Шульга,
Irina Ten
Publication year - 2021
Publication title -
ûžno-rossijskij onkologičeskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2686-9039
pISSN - 2687-0533
DOI - 10.37748/2686-9039-2021-2-2-5
Subject(s) - medicine , lung cancer , hypoxemia , ventilation (architecture) , lung , bronchus , surgery , radiology , anesthesia , respiratory disease , pathology , mechanical engineering , engineering
The article describes a clinical case of surgical treatment of a patient with multiple primary malignant lesions of the lungs (cancer of the left lung, central peribronchial nodular tumor with involvement of the upper lobe and distal parts of the main bronchus; cancer of the right lung, central tumor with involvement of the upper lobar bronchus). Radical treatment became possible due to using the potential of artifi cial gas exchange of both lungs with two devices with fundamentally different ventilation mechanics. The choice of an optimal tactics for the functional correction of the supposed hypoxemia by volumetric and high-frequency pulmonary ventilation allowed avoiding an imbalance in the ventilation/perfusion ratio and preventing the development of life-threatening complications, as well as ensured an adequate gas exchange for the patient during surgical treatment.