Abstract
Anaesthetic management of a patient with giant lung bulla who undergoes laparoscopic surgery deserves special considerations in view of the possible complications associated with the bulla. There may be acute enlargement or rupture of the bulla, necessitating emergency management. Precautionary measures which may be taken during anaesthesia include the avoidance of nitrous oxide, keeping low airway pressures during the surgery, immediate availability of chest drains in the anaesthetizing area and continuous monitoring including auscultation of the chest, observing airway pressures and arterial blood gas analysis.
Highlights
Open AccessBhaskar Dutta1* and Gangaprasad2 1Trust Registrar, Dept of Anaesthetics, Peterborough Hospital NHS Foundation Trust, Bretton Gate, Peterborough, Post code: PE3 9GZ, UK 2Add. Prof, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India, 110029
Patients with coincidental bullous lesions of the lung occasionally present for non-thoracic surgeries
These patients are at increased risk during anaesthesia from potential complications which may arise from the bullae or underlying lung disease
Summary
Bhaskar Dutta1* and Gangaprasad2 1Trust Registrar, Dept of Anaesthetics, Peterborough Hospital NHS Foundation Trust, Bretton Gate, Peterborough, Post code: PE3 9GZ, UK 2Add. Prof, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India, 110029
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