Cholecystectomy in a patient with Broncho pleural fistula - An Anesthesiologist's tight rope walk

Patients presenting for surgery postlobectomy with Broncho pleural fistula are prone for perioperative respiratory complications and pose a significant challenge to anesthetist. Published data to guide perioperative management of such cases especially for abdominal surgeries are scarce. We describe...

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Bibliographic Details
Published inSaudi journal of anaesthesia Vol. 17; no. 2; pp. 260 - 262
Main Authors Tharsis, Reshma P, Thalepaddy, Megha, Kaasat, Ankita
Format Journal Article
LanguageEnglish
Published India Medknow Publications and Media Pvt. Ltd 01.04.2023
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer - Medknow
Wolters Kluwer Medknow Publications
Subjects
Anesthesia
broncho pleural fistula
Case Report
Cholecystectomy
esp block
Fistula
Gallstones
lobectomy
pneumothorax
Succinylcholine
Surgical outcomes
Broncho pleural fistula
lobectomy
ESP block
pneumothorax
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Summary:Patients presenting for surgery postlobectomy with Broncho pleural fistula are prone for perioperative respiratory complications and pose a significant challenge to anesthetist. Published data to guide perioperative management of such cases especially for abdominal surgeries are scarce. We describe a 51-year-old gentleman status postlobectomy with Broncho pleural fistula posted for cholecystectomy in view of symptomatic gallstones. Laparoscopic surgery was later converted to open surgery in view of surgical difficulties. Perioperative period was uneventful and proper modes of analgesia helped in faster recovery. Proper understanding of physiological and anatomical changes and proper planning of anesthesia facilitated safe and uneventful anesthesia.
ISSN:1658-354X
0975-3125
DOI:10.4103/sja.sja_667_22