Cargando…

Successful adrenaline treatment of perioperative severe bronchospasm combined with a silent lung: two case reports

BACKGROUND: Silent lung is a rare and potentially fatal disease. It is a critical sign of strong bronchospasm or extensive mucus plug blockage, which can result in the obvious weakening of breathing sounds or even disappearance of breathing sounds. Silent lung has an acute onset and rapid progress,...

Descripción completa

Detalles Bibliográficos
Autores principales: Liu, Ting, Hong, Yu, Peng, Yuxuan, Lu, Yanan, Cao, Lin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9189161/
https://www.ncbi.nlm.nih.gov/pubmed/35706780
http://dx.doi.org/10.21037/tcr-22-617
_version_ 1784725523617808384
author Liu, Ting
Hong, Yu
Peng, Yuxuan
Lu, Yanan
Cao, Lin
author_facet Liu, Ting
Hong, Yu
Peng, Yuxuan
Lu, Yanan
Cao, Lin
author_sort Liu, Ting
collection PubMed
description BACKGROUND: Silent lung is a rare and potentially fatal disease. It is a critical sign of strong bronchospasm or extensive mucus plug blockage, which can result in the obvious weakening of breathing sounds or even disappearance of breathing sounds. Silent lung has an acute onset and rapid progress, which seriously threatens the life of patients. It needs early diagnosis, timely and effective treatment to reverse the persistent severe bronchospasm of patients. If not handled in time, silent lung can cause rapid onset of severe hypoxemia, hypoxic brain injury, and even cardiac arrest. Few studies have been reported on the causes and specific treatments for silent lungs. CASE DESCRIPTION: We report 2 rare cases of silent lung in this article and summarize the pathogenesis, inducing factors, clinical manifestations of perioperative silent lung. We also review the literature and discuss our solutions and propose other possible solutions for the treatment of silent lung emergencies in clinical settings in order to provide reference for clinical practice of anesthesiologists. Of the patients, 1 displayed a sudden decrease in ventilation volume, an increase in airway resistance, and was changed to pure oxygen. The manual ventilation failed, and there was no fluctuation of the thorax and no respiratory sound during auscultation. Cardiopulmonary resuscitation (CPR) was initiated when cardiac arrest was imminent after hypoxia. The other patient had high airway resistance after anesthesia-induced endotracheal intubation, could not be ventilated, and the carbon dioxide (CO(2)) waveform at the end of breathing disappeared. CONCLUSIONS: Both patients had severe bronchospasm; that is, silent lung. The 2 patients improved after hand-controlled ventilation and the administration of adrenaline and methylprednisolone, and ultimately recovered ventilation.
format Online
Article
Text
id pubmed-9189161
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher AME Publishing Company
record_format MEDLINE/PubMed
spelling pubmed-91891612022-06-14 Successful adrenaline treatment of perioperative severe bronchospasm combined with a silent lung: two case reports Liu, Ting Hong, Yu Peng, Yuxuan Lu, Yanan Cao, Lin Transl Cancer Res Case Report BACKGROUND: Silent lung is a rare and potentially fatal disease. It is a critical sign of strong bronchospasm or extensive mucus plug blockage, which can result in the obvious weakening of breathing sounds or even disappearance of breathing sounds. Silent lung has an acute onset and rapid progress, which seriously threatens the life of patients. It needs early diagnosis, timely and effective treatment to reverse the persistent severe bronchospasm of patients. If not handled in time, silent lung can cause rapid onset of severe hypoxemia, hypoxic brain injury, and even cardiac arrest. Few studies have been reported on the causes and specific treatments for silent lungs. CASE DESCRIPTION: We report 2 rare cases of silent lung in this article and summarize the pathogenesis, inducing factors, clinical manifestations of perioperative silent lung. We also review the literature and discuss our solutions and propose other possible solutions for the treatment of silent lung emergencies in clinical settings in order to provide reference for clinical practice of anesthesiologists. Of the patients, 1 displayed a sudden decrease in ventilation volume, an increase in airway resistance, and was changed to pure oxygen. The manual ventilation failed, and there was no fluctuation of the thorax and no respiratory sound during auscultation. Cardiopulmonary resuscitation (CPR) was initiated when cardiac arrest was imminent after hypoxia. The other patient had high airway resistance after anesthesia-induced endotracheal intubation, could not be ventilated, and the carbon dioxide (CO(2)) waveform at the end of breathing disappeared. CONCLUSIONS: Both patients had severe bronchospasm; that is, silent lung. The 2 patients improved after hand-controlled ventilation and the administration of adrenaline and methylprednisolone, and ultimately recovered ventilation. AME Publishing Company 2022-05 /pmc/articles/PMC9189161/ /pubmed/35706780 http://dx.doi.org/10.21037/tcr-22-617 Text en 2022 Translational Cancer Research. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.
spellingShingle Case Report
Liu, Ting
Hong, Yu
Peng, Yuxuan
Lu, Yanan
Cao, Lin
Successful adrenaline treatment of perioperative severe bronchospasm combined with a silent lung: two case reports
title Successful adrenaline treatment of perioperative severe bronchospasm combined with a silent lung: two case reports
title_full Successful adrenaline treatment of perioperative severe bronchospasm combined with a silent lung: two case reports
title_fullStr Successful adrenaline treatment of perioperative severe bronchospasm combined with a silent lung: two case reports
title_full_unstemmed Successful adrenaline treatment of perioperative severe bronchospasm combined with a silent lung: two case reports
title_short Successful adrenaline treatment of perioperative severe bronchospasm combined with a silent lung: two case reports
title_sort successful adrenaline treatment of perioperative severe bronchospasm combined with a silent lung: two case reports
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9189161/
https://www.ncbi.nlm.nih.gov/pubmed/35706780
http://dx.doi.org/10.21037/tcr-22-617
work_keys_str_mv AT liuting successfuladrenalinetreatmentofperioperativeseverebronchospasmcombinedwithasilentlungtwocasereports
AT hongyu successfuladrenalinetreatmentofperioperativeseverebronchospasmcombinedwithasilentlungtwocasereports
AT pengyuxuan successfuladrenalinetreatmentofperioperativeseverebronchospasmcombinedwithasilentlungtwocasereports
AT luyanan successfuladrenalinetreatmentofperioperativeseverebronchospasmcombinedwithasilentlungtwocasereports
AT caolin successfuladrenalinetreatmentofperioperativeseverebronchospasmcombinedwithasilentlungtwocasereports