Anesthetic Challenges of a Patient with the Communicating Bulla Coming for Nonthoracic Surgery

Management of a patient with a giant bulla coming for a nonthoracic surgery is rare, and its anesthetic management is very challenging. It is imperative to isolate only the subsegmental bronchus, in which the bulla communicates to avoid respiratory morbidities such as pneumothorax, emphysema or atel...

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Detalles Bibliográficos
Autores principales: Theodare, Bernice, Nissy, Vinolia Victory, Sahajanandan, Raj, Mariappan, Ramamani
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5914225/
https://www.ncbi.nlm.nih.gov/pubmed/29652286
http://dx.doi.org/10.4103/aca.ACA_150_17
Descripción
Sumario:Management of a patient with a giant bulla coming for a nonthoracic surgery is rare, and its anesthetic management is very challenging. It is imperative to isolate only the subsegmental bronchus, in which the bulla communicates to avoid respiratory morbidities such as pneumothorax, emphysema or atelectasis of the surrounding lung parenchyma, and postoperative respiratory failure. Herewith, we want to report the anesthetic challenges of a patient with giant bulla communicating into one of the subsegmental right upper lobe bronchus for splenectomy.

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