Manuel High-Frequency-Ventilation during Sleeve Pneumonectomy

Aims: Sleeve pneumonectomy is an operation that requires careful perioperative management of anesthesia.

Presentation of Case: A case diagnosed with a mass in the right main bronchus was presented in this article. He was a 53 year old man who underwent right sleeve pneumonectomy with carinal resection and subsequent anastomosis of trachea to the left main bronchus. During the anastomosis, ventilation was provided via a Nelaton catheter by using high frequency ventilation manually. Patient was extubated smoothly in the operating room, and was discharged without any complications at the end of 1st week.

Discussion and Conclusion: In case of unexpected findings during thoracic surgery non-conventional ventilation techniques (manual HFV-like mode) using available materials can lead to satisfactorily results.