Anaesthetic management of a case of multiple splenic abscesses with left hydropneumothorax undergoing splenectomy with pigtail catheter insiitu

The use of a thoracostomy chest tube for drainage hydropneumothorax is preferred from an anaesthetic point view as positive pressure can be applied. Pigtail catheters are widely used it less invasive, traumatic, and easier to perform allows more ambulation. When compared the tube, pig tail better tolerated. Here we present case 43 year old man with multiple splenic abscesses in sepsis left sided which was drained pigtail catheter. plan initially procedure under high thoracic epidural ICD on standby. Half hour into procedure, due incessant cough movement, there need supplement general anaesthesia using supraglottic airway (Proseal LMA size 3). patient spontaneous ventilation Propofol sedation TCI pump. Procedure conducted without further complications. Patient shifted SICU care.