Anesthetic management for resection of a giant emphysematous bulla: a case report

Anesthetic management for patients with a giant emphysematous bulla (GEB) is challenging. This case report describes a patient who developed 95% pulmonary compression by a GEB. A 14-Ga indwelling catheter was placed in the GEB before surgery to allow for slow re-expansion of the collapsed lung tissu...

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Detalles Bibliográficos
Autores principales: Lin, Xianju, Wang, Hongzhu, Yang, Yong, Xiang, Haifei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8059042/
https://www.ncbi.nlm.nih.gov/pubmed/33853431
http://dx.doi.org/10.1177/03000605211001989
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author Lin, Xianju
Wang, Hongzhu
Yang, Yong
Xiang, Haifei
author_facet Lin, Xianju
Wang, Hongzhu
Yang, Yong
Xiang, Haifei
author_sort Lin, Xianju
collection PubMed
description Anesthetic management for patients with a giant emphysematous bulla (GEB) is challenging. This case report describes a patient who developed 95% pulmonary compression by a GEB. A 14-Ga indwelling catheter was placed in the GEB before surgery to allow for slow re-expansion of the collapsed lung tissue. This prevented rupture of the GEB during anesthesia. Additionally, positive-pressure ventilation was performed to reduce the risk of re-expansion pulmonary edema. This respiratory management strategy may be beneficial for patients with a GEB who develop pulmonary dysfunction during thoracic surgery.
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spelling pubmed-80590422021-05-04 Anesthetic management for resection of a giant emphysematous bulla: a case report Lin, Xianju Wang, Hongzhu Yang, Yong Xiang, Haifei J Int Med Res Case Reports Anesthetic management for patients with a giant emphysematous bulla (GEB) is challenging. This case report describes a patient who developed 95% pulmonary compression by a GEB. A 14-Ga indwelling catheter was placed in the GEB before surgery to allow for slow re-expansion of the collapsed lung tissue. This prevented rupture of the GEB during anesthesia. Additionally, positive-pressure ventilation was performed to reduce the risk of re-expansion pulmonary edema. This respiratory management strategy may be beneficial for patients with a GEB who develop pulmonary dysfunction during thoracic surgery. SAGE Publications 2021-04-14 /pmc/articles/PMC8059042/ /pubmed/33853431 http://dx.doi.org/10.1177/03000605211001989 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Reports
Lin, Xianju
Wang, Hongzhu
Yang, Yong
Xiang, Haifei
Anesthetic management for resection of a giant emphysematous bulla: a case report
title Anesthetic management for resection of a giant emphysematous bulla: a case report
title_full Anesthetic management for resection of a giant emphysematous bulla: a case report
title_fullStr Anesthetic management for resection of a giant emphysematous bulla: a case report
title_full_unstemmed Anesthetic management for resection of a giant emphysematous bulla: a case report
title_short Anesthetic management for resection of a giant emphysematous bulla: a case report
title_sort anesthetic management for resection of a giant emphysematous bulla: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8059042/
https://www.ncbi.nlm.nih.gov/pubmed/33853431
http://dx.doi.org/10.1177/03000605211001989
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AT xianghaifei anestheticmanagementforresectionofagiantemphysematousbullaacasereport

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