Anaesthetic management of a paediatric case of Bronchopleural fistula posted for open thoracotomy with decortication

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Open Thoracotomy and Decortication for Chronic Empyema

OBJECTIVES Traditionally, chronic empyema has been treated by thoracotomy and decortication. Some recent reports have claimed similar clinical results for videothoracoscopy, but with less morbidity and mortality than open procedures. Our experience with thoracotomy and decortication is reviewed so that the results of this surgical procedure can be adequately evaluated. MATERIALS AND METHODS F...

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Patients with bronchopleural fistula present with specific airway management and ventilatory concerns, which makes the anaesthetic management of these patients challenging. Myasthenia gravis is another condition requiring specific anaesthetic management, with possible unpredictable delays in recovery. A combination of both these conditions in a patient makes management even more difficult. Our ...

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Empyema thoracis: a role for open thoracotomy and decortication.

BACKGROUND Thoracentesis and antibiotics remain the cornerstones of treatment in stage I empyema. The management of disease progression or late presentation is controversial. Open thoracotomy and decortication is perceived to be synonymous with protracted recovery and prolonged hospitalisation. Advocates of thoracoscopic adhesiolysis cite earlier chest drain removal and hospital discharge. This...

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Empyema thoracis: a role for open thoracotomy and decortication

Background—Thoracentesis and antibiotics remain the cornerstones of treatment in stage I empyema. The management of disease progression or late presentation is controversial. Open thoracotomy and decortication is perceived to be synonymous with protracted recovery and prolonged hospitalisation. Advocates of thoracoscopic adhesiolysis cite earlier chest drain removal and hospital discharge. This...

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A method of anaesthesia for the repair of bronchopleural fistulae is described which involves the use of the Robertshaw double-lumen tube. Our experience with its use on twenty occasions is described, and in eleven of them the method was completely successful. In none of the other nine cases were the difficulties encountered such as to render the technique unsafe. Both from the point of view of...

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ژورنال

عنوان ژورنال: International Journal of Medical Anesthesiology

سال: 2019

ISSN: 2664-3766,2664-3774

DOI: 10.33545/26643766.2019.v2.i2d.60