alexa Anaesthetic Management of a Case of Giant Pulmonary Bulla Undergoing Laparoscopic Cholecystectomy
ISSN: 2155-6148

Journal of Anesthesia & Clinical Research
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Case Report

Anaesthetic Management of a Case of Giant Pulmonary Bulla Undergoing Laparoscopic Cholecystectomy

Bhaskar Dutta1* and Gangaprasad2

1Trust Registrar, Dept of Anaesthetics, Peterborough Hospital NHS Foundation Trust, Bretton Gate, Peterborough, Post code: PE3 9GZ, UK

2Add. Prof, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India, 110029

*Corresponding Author:
Dr. Bhaskar Dutta
Deptt of Anaesthetics, Peterborough Hospital NHS Foundation Trust
Bretton Gate, Peterborough, Post code: PE3 9GZ, UK
Tel: +44 – 7729963759
Fax: +44 - 1733 – 678533
E-mail: [email protected]

Received Date: May 24, 2012; Accepted Date: May 29, 2012; Published Date: May 31, 2012

Citation: Dutta B, Gangaprasad (2012) Anaesthetic Management of a Case of Giant Pulmonary Bulla Undergoing Laparoscopic Cholecystectomy. J Anesth Clin Res 3:214. doi: 10.4172/2155- 6148.1000214

Copyright: © 2012 Dutta B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Anaesthetic management of a patient with giant lung bulla who undergoes laparoscopic surgery deserves special considerations in view of the possible complications associated with the bulla. There may be acute enlargement or rupture of the bulla, necessitating emergency management. Precautionary measures which may be taken during anaesthesia include the avoidance of nitrous oxide, keeping low airway pressures during the surgery, immediate availability of chest drains in the anaesthetizing area and continuous monitoring including auscultation of the chest, observing airway pressures and arterial blood gas analysis.

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