Abstract
BRONCHOSPASM may develop in patients undergoing coronary artery bypass graft surgery with cardiopulmonary bypass (CPB). 1 Tuman KJ Ivankovich AD Bronchospasm during cardiopulmonary bypass: Etiology and management. Chest. 1986; 90: 635-637 Crossref PubMed Scopus (8) Google Scholar , 2 Shiroka A Rah KH Keenan RL Bronchospasm during cardiopulmonary bypass. Anesth Analg. 1982; 61: 538-540 Crossref PubMed Scopus (9) Google Scholar , 3 Casella ES Humphrey LS Bronchospasm after cardiopulmonary bypass in a heart-lung transplant recipient. Anesthesiology. 1988; 69: 135-138 Crossref PubMed Scopus (14) Google Scholar , 4 Durant PAC Joucken K Bronchospasm and hypotension during cardiopulmonary bypass after preoperative cimetidine and labetalol therapy. Br J Anaesth. 1984; 56: 917-920 Crossref PubMed Scopus (9) Google Scholar , 5 Pace NL Matthews MM Stanley TH Anesthetic management of the first permanent, orthotopic, prosthetic cardiac replacement (total artificial heart) in man. Anesth Analg. 1984; 63: 685-689 Crossref PubMed Scopus (10) Google Scholar , 6 Kyösola K Takkunen O Maamies T et al. Bronchospasm during cardiopulmonary bypass—a potentially fatal complication of open-heart surgery. Thorac Cardiovasc Surg. 1987; 35: 375-377 Crossref PubMed Scopus (8) Google Scholar , 7 Buckingham RE Rogers TR Sampson IH Case 1989-I: A 55-year-old male undergoing CABG develops severe bronchospasm at the end of cardiopulmonary bypass. J Cardiothorac Vasc Anesth. 1989; 3: 109-118 Google Scholar , 8 Neustein SM Bronheim D Severe bronchospasm following cardiopulmonary bypass in an asthmatic. J Cardiothorac Vasc Anesth. 1992; 6: 609-611 Abstract Full Text PDF PubMed Scopus (5) Google Scholar , 9 Simpson JI Eide TR Clagnaz JF Cold-induced bronchospasm during coronary artery bypass surgery. Anesthesiology. 1993; 79: 180-183 Crossref PubMed Scopus (4) Google Scholar , 10 Ecoff SA Miyahara C Steward DJ Severe bronchospasm during cardiopulmonary bypass. Can J Anaesth. 1996; 43: 1244-1248 Crossref PubMed Scopus (4) Google Scholar In this report, a patient is presented who developed severe bronchospasm during termination of CPB. The bronchospasm did not respond fully to conventional therapy, which included inhaled anesthetics and aerosolized β-adrenergic agents in combination with aminophylline, epinephrine, and corticosteroid, and separation from CPB became difficult. Additional therapeutic modalities are suggested.
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