Korean J Anesthesiol.  1996 Nov;31(5):649-653. 10.4097/kjae.1996.31.5.649.

Anesthesia in Patient with Bronchopleural Fistula: A case report

• Oh HJ
• Kim SB
• Kwa HS
• Ahn CK

• KMID: 2091031
• DOI: http://doi.org/10.4097/kjae.1996.31.5.649

Abstract

Bronchopleural fistula is an uncommon but serious complication of lung resection, with a high mortality and morbidity. Problems associated with bronchopleural fistula and empyema are related to positive-pressure ventilation, which may result in infectious contamination of healthy lung tissue, loss of air, decreased alveolar ventilation leading to carbon dioxide retention, and the development of a tension pneumothorax. We experienced difficult intubation in patient who has large bronchopleural fistula and anatomic deviations of intact bronchus of the left lung, so we used a long single lumen tube made by attaching an another cuffed endotracheal tube under direct vision. The arterial oxygenation was effective, but carbon dioxide elimination was inadequate. After the operation, the ordinary cuffed endotracheal tube was intubated orally and the patient was transferred to the ward without problems 6 days after the operation.

Keyword

Anesthesia thoracic; Lung bronchopleural fistula

MeSH Terms

Anesthesia*
Bronchi
Carbon Dioxide
Empyema
Fistula*
Humans
Intubation
Lung
Mortality
Oxygen
Pneumothorax
Positive-Pressure Respiration
Ventilation
Carbon Dioxide
Oxygen