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Related Experiment Videos

Recurrent intraoperative lobar collapse

C P Leng1, K Lalwani

  • 1Department of Anaesthesia, Great Ormond Street Hospital For Sick Children, London, UK.

Paediatric Anaesthesia
|June 3, 1998
PubMed
Summary

A collapsed right upper lobe in an asymptomatic 12-year-old girl was incidentally discovered during anesthesia. Fiberoptic bronchoscopy successfully reexpanded the lobe, highlighting challenges in patient risk identification and consent.

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Area of Science:

  • Pediatric Anesthesiology
  • Pulmonary Medicine
  • Diagnostic Imaging

Background:

  • Adults and children undergoing anesthesia can experience intraoperative lung complications.
  • Pulmonary atelectasis, or lung collapse, is a common intraoperative finding.

Observation:

  • An asymptomatic 12-year-old girl undergoing anesthesia for angiography was incidentally found to have a collapsed right upper lobe.
  • Initial attempts at reexpansion with manual ventilation and suctioning were temporarily successful, but the lobe collapsed again 15 minutes later.

Findings:

  • Physiological parameters remained stable throughout the event.
  • Fiberoptic bronchoscopy was performed uneventfully and successfully reexpanded the collapsed lobe.

Implications:

  • This case highlights the challenges in identifying pediatric patients at risk for intraoperative lung collapse.
  • It underscores the need for prompt therapeutic intervention and careful consideration of informed consent in pediatric cases.
  • Fiberoptic bronchoscopy is a viable treatment option for persistent intraoperative lobar atelectasis.

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