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Published in: Journal of Cardiothoracic Surgery 1/2020

Open Access 01-12-2020 | Bronchoscopy | Case report

ECMO-assisted resection of left main bronchial malignant tumor and left pneumonectomy with comprehensive nursing support: a case report

Authors: Hui Yang, Ruiyun Chen, Jingru Chen, Fan Yan, Hongmei Zhang, Li Wei, Xiangbo Jia, Yuming Wang

Published in: Journal of Cardiothoracic Surgery | Issue 1/2020

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Abstract

Background

Patients with Extracorporeal Membrane Oxygenation (ECMO) undergoing primary bronchial malignancy resection and left pneumonectomy via bilateral thoracic approach are rare for there exist few reports available to date. And the nursing experience about this disease is rare reported.

Case presentation

This study reported a 50-year-old man with adenoid cystic carcinoma in left main bronchus by computed tomography (CT), fiberoptic bronchoscopy, and puncture biopsy. The case is the first report about operation method and the comprehensive nursing care, including conventional nursing, airway management, fluid management, nutritional support, and psychosocial support for patients undergoing primary bronchial malignancy resection and left pneumonectomy. After multidisciplinary treatment and comprehensive care, the patient was cured and discharged on the 17th day after surgery.

Conclusion

This study reported a rare case with bronchial malignancy resection and left pneumonectomy and discussed its nursing care. A skilled management of ECMO, intraoperative position transformation, and prevention, as well as control of pulmonary complications are fundamental in caring patients with bronchial tumors. Monitoring of pulmonary function and blood pressure, adequate nutrition, and psychological support could be contributing factors for successful treatment during the postoperative stage.
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Metadata
Title
ECMO-assisted resection of left main bronchial malignant tumor and left pneumonectomy with comprehensive nursing support: a case report
Authors
Hui Yang
Ruiyun Chen
Jingru Chen
Fan Yan
Hongmei Zhang
Li Wei
Xiangbo Jia
Yuming Wang
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2020
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-020-01348-z

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