Post-pneumonectomy surgery in prone position: a case report

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Abstract

Background
Anesthesia in post-pneumonectomy patients is challenging as pneumonectomy is considered “a disease itself” with impaired oxygenation and ventilation. Literary data for prone ventilation in post-pneumonectomy patients is scarce.
Case presentation
A 45-year-old female patient with a history of right-sided pneumonectomy 10 years ago with restrictive pulmonary disease underwent uneventful lumbar spine surgery under general anesthesia in the prone position. The lung-protective ventilation using the pressure control mode of ventilation was done.
Conclusions
A good understanding of the physiology of the single lung and the concerns of prone ventilation, along with proper preoperative evaluation and optimization, are key to the successful management of such cases.

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