Manejo anestésico de una paciente afecta de enfisema bulloso

Introduction: Many patients with emphysema will develop cystic air spaces in the lung parenchyma known as bullae. Positive pressure ventilation increases the pressure in a bulla and increases the risk of rupture and tension pneumothorax. Therefore, anesthesia management, for surgeries other than lung volume reduction surgery (LVRS), is challenging in these patients. Case Presentation: A 62-year-old male patient was brought to the emergency department due to a fall resulting in head trauma and a leak of CSF from a previous surgical site of a CP (cerebellopontine) angle tumor. The chest CT scan depicted bilateral bullae in the lungs. Anesthesia was induced and maintained with an inhalational method using Sevoflurane and spontaneous mask ventilation. Conclusions: Patients with bilateral bullae could be managed with spontaneous ventilation; one of the safe choices is inhalational induction and maintenance with Sevoflurane.

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Manejo anestésico de una paciente afecta de enfisema bulloso

Cited by 2 publications

References 4 publications

Abdominal surgery in a patient with bullous emphysema: Anesthetic concerns

Abdominal surgery in a patient with bullous emphysema: Anesthetic concerns

Anesthesia Management of Bullous Emphysema in Patient Candidate for Craniotomy

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