Three Cases of Lung Volume Reduction Surgery in Patients with Severe Emphysema.
10.4097/kjae.2001.40.1.111
- Author:
Tae Sung KIM
1
;
Hyun Ju KIM
;
Bae Hee JUNG
;
Rim Soo WON
Author Information
1. Department of Anesthesiology, Hallym University Medical Center, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Emphysema: reduction pneumoplasty;
Monitoring: spirometry;
pulmonary function test
- MeSH:
Emphysema*;
Follow-Up Studies;
Humans;
Lung Compliance;
Lung*;
Mechanics;
Pneumonectomy*;
Respiratory Function Tests;
Rivers;
Spirometry
- From:Korean Journal of Anesthesiology
2001;40(1):111-116
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We have recently experienced with 3 cases of bilateral lung volume reduction surgery (LVRS) in patients with severe emphysematous disease in an effort to improve pulmonary mechanics. We compared intraoperative total dynamic lung compliance (CT) and % of breath exhaled in one second (V1.0%) obtained immediately pre-lung reduction and immediate post-lung reduction. In addition we also compared preoperative pulmonary function test (PFT) [FEV1, TLC, TG (trapped gas) and FRC] with 3 month postoperative values. Two of the three patients demonstrated post-reduction improvement in dynamic CT while only one patient demonstrated post-reduction improvement in V1.0%. All three patients demonstrated an increase in FEV1 and a decrease in TLC, TG and FRC with the greatest change in one patient who also had a significant reduction in CT and an improvement in V1.0% intraoperatively, and post-lung reduction. Although our results of the 3 cases are preliminary, it appears that side stream spirometry with immediate intraoperative measurement of dynamic CT and V1.0% could play a role in predicting expected follow-up objective pulmonary function tests; improvement in both CT and V1.0% may predict significant improvements in PFT.
