Intraoperative Tension Pneumothorax in a Child during Bronchogenic Cyst Excision – An Anesthetic Nightmare

Q4 Medicine
S. Khatavkar, Vipul K. Sharma, Jayalakshmi Mohan, Preeti Raj
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引用次数: 0

Abstract

ABSTRACT The bronchogenic cyst is a class of lung malformations that are congenital and non-vascular. Surgical excision per se is a great challenge for anesthesiologists as there have been cases with complications of fatal tension pneumothorax. Our patient is an 11-month-old child who underwent surgical excision of the bronchogenic cyst compressing the left bronchus. Intraoperatively, due to positive pressure ventilation, tension pneumothorax developed, ultimately leading to cardiac arrest. Prompt treatment with cardiopulmonary resuscitation followed by needle insertion in the second intercostal space on the right side, followed by an intercostal drain, revivedthe patient. An early diagnosis and an adequate approach to possible complications is the key to successful anesthetic management.
一名儿童在支气管源性囊肿切除术中出现术中张力性气胸--麻醉噩梦
摘要 支气管源性囊肿是一类先天性、无血管的肺部畸形。手术切除本身对麻醉医生来说就是一项巨大的挑战,因为曾有过并发致命性张力性气胸的病例。我们的患者是一名 11 个月大的儿童,他接受了压迫左侧支气管的支气管源性囊肿手术切除。术中,由于正压通气,出现了张力性气胸,最终导致心脏骤停。及时进行心肺复苏治疗后,在右侧第二肋间隙插入针管,然后进行肋间引流,病人终于苏醒过来。早期诊断和适当处理可能出现的并发症是麻醉管理取得成功的关键。
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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
221
审稿时长
43 weeks
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