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Anesthetic challenges of a patient with the communicating bulla coming for nonthoracic surgery
Bernice Theodare1, Vinolia Victory Nissy1, Raj Sahajanandan1
1Department of Anaesthesia, Christian Medical College, Vellore, Tamil Nadu, India.
Abstract:
Management of a patient with a giant bulla coming for a nonthoracic surgery is rare, and its anesthetic management is very challenging. It is imperative to isolate only the subsegmental bronchus, in which the bulla communicates to avoid respiratory morbidities such as pneumothorax, emphysema or atelectasis of the surrounding lung parenchyma, and postoperative respiratory failure. Herewith, we want to report the anesthetic challenges of a patient with giant bulla communicating into one of the subsegmental right upper lobe bronchus for splenectomy.
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