期刊
EQUINE VETERINARY EDUCATION
卷 22, 期 5, 页码 231-236出版社
WILEY
DOI: 10.1111/j.2042-3292.2010.00072.x
关键词
horse; one-lung ventilation; septic pleuropneumonia; thoracotomy; subtotal pulmonectomy
P>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.
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