General anaesthesia and undrained pneumothorax. The use of a computer-controlled propofol infusion

A patient who required pleurectomy had a 30% pneumothorax when she was presented for anaesthesia. She had refused to have this drained, and it had not responded to conservative management. She was anaesthetised using a computer-controlled propofol infusion system, without the use of nitrous oxide, a...

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Bibliographic Details
Published inAnaesthesia Vol. 46; no. 3; p. 192
Main Authors Crofts, S L, Hutchison, G L
Format Journal Article
LanguageEnglish
Published England 01.03.1991
Subjects
Adolescent
Anesthesia, General
Anesthesia, Intravenous
Computers
Drainage
Female
Humans
Infusion Pumps
Pneumothorax - complications
Propofol - administration & dosage
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Summary:A patient who required pleurectomy had a 30% pneumothorax when she was presented for anaesthesia. She had refused to have this drained, and it had not responded to conservative management. She was anaesthetised using a computer-controlled propofol infusion system, without the use of nitrous oxide, and a chest drain was inserted before the institution of positive pressure ventilation. This technique reduces the hazards associated with general anaesthesia in the presence of an undrained pneumothorax. It may be a safe alternative method of induction of anaesthesia in other conditions in which positive pressure ventilation must be avoided, such as bronchopleural fistula.
ISSN:0003-2409
DOI:10.1111/j.1365-2044.1991.tb09407.x