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Prebronchoplasty ventilation maneuver: Steering the outcome in the management of bronchial injuries!

Bronchial injuries are infrequently seen following blunt chest trauma and mostly have subtle clinical presentation. Its diagnosis is challenging and may be delayed resulting in myriad complications such as secondary infection, bronchiectasis, atelectasis, collapse, and fibrosis. We discuss the anest...

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Autores principales: Kapoor, Dheeraj, Singh, Jasveer, Jain, Aditi, Singh, Manpreet, Dalal, Ashwani K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516498/
https://www.ncbi.nlm.nih.gov/pubmed/28757836
http://dx.doi.org/10.4103/sja.SJA_618_16
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author Kapoor, Dheeraj
Singh, Jasveer
Jain, Aditi
Singh, Manpreet
Dalal, Ashwani K.
author_facet Kapoor, Dheeraj
Singh, Jasveer
Jain, Aditi
Singh, Manpreet
Dalal, Ashwani K.
author_sort Kapoor, Dheeraj
collection PubMed
description Bronchial injuries are infrequently seen following blunt chest trauma and mostly have subtle clinical presentation. Its diagnosis is challenging and may be delayed resulting in myriad complications such as secondary infection, bronchiectasis, atelectasis, collapse, and fibrosis. We discuss the anesthetic management of a case of complete right principle bronchus transection with distal lung collapse, posted for surgical repair and highlight the unique intraoperative ventilation maneuver to identify the functional lung segment. This unique yet less recognized ventilation maneuver of the collapsed lung segment was performed just before bronchoplasty. The aforesaid maneuver may act as a pointer for further surgical course and a useful diagnostic and therapeutic modality in ensuring the eventual outcome in this subset of patients.
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spelling pubmed-55164982017-07-28 Prebronchoplasty ventilation maneuver: Steering the outcome in the management of bronchial injuries! Kapoor, Dheeraj Singh, Jasveer Jain, Aditi Singh, Manpreet Dalal, Ashwani K. Saudi J Anaesth Case Report Bronchial injuries are infrequently seen following blunt chest trauma and mostly have subtle clinical presentation. Its diagnosis is challenging and may be delayed resulting in myriad complications such as secondary infection, bronchiectasis, atelectasis, collapse, and fibrosis. We discuss the anesthetic management of a case of complete right principle bronchus transection with distal lung collapse, posted for surgical repair and highlight the unique intraoperative ventilation maneuver to identify the functional lung segment. This unique yet less recognized ventilation maneuver of the collapsed lung segment was performed just before bronchoplasty. The aforesaid maneuver may act as a pointer for further surgical course and a useful diagnostic and therapeutic modality in ensuring the eventual outcome in this subset of patients. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5516498/ /pubmed/28757836 http://dx.doi.org/10.4103/sja.SJA_618_16 Text en Copyright: © 2017 Saudi Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Kapoor, Dheeraj
Singh, Jasveer
Jain, Aditi
Singh, Manpreet
Dalal, Ashwani K.
Prebronchoplasty ventilation maneuver: Steering the outcome in the management of bronchial injuries!
title Prebronchoplasty ventilation maneuver: Steering the outcome in the management of bronchial injuries!
title_full Prebronchoplasty ventilation maneuver: Steering the outcome in the management of bronchial injuries!
title_fullStr Prebronchoplasty ventilation maneuver: Steering the outcome in the management of bronchial injuries!
title_full_unstemmed Prebronchoplasty ventilation maneuver: Steering the outcome in the management of bronchial injuries!
title_short Prebronchoplasty ventilation maneuver: Steering the outcome in the management of bronchial injuries!
title_sort prebronchoplasty ventilation maneuver: steering the outcome in the management of bronchial injuries!
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516498/
https://www.ncbi.nlm.nih.gov/pubmed/28757836
http://dx.doi.org/10.4103/sja.SJA_618_16
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