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Canadian Journal of Anesthesia, Vol 28, 272-276, Copyright © 1981 by Canadian Anesthesiologists' Society

Anaesthesia for the Patient with a Coincidental Giant Lung Bulla: A Case Report

NIGEL G. CASEBY M.B., Ch.B., F.F.A.R.C.S., F.R.C.P.(C)1

1 Intensive Care Unit, The General Hospital, Health Sciences Centre, St. John's, Newfoundland; Memorial University of Newfoundland, St. John's, Newfoundland

The anaesthetic management of a patient with a coincidental giant lung bulla who underwent lumbar discectomy and laminectomy is described. The specific problems associated with anaesthesia in patients with bullae, such as acute enlargement or rupture of the bullae, are discussed. Precautionary measures which may be taken during anaesthesia include the avoidance of nitrous oxide, the prophylactic use of a double-lumen tube, and the immediate availability of chest drains in the anaesthetizing area. Monitoring during operation may involve bilateral chest auscultation and arterial blood gas analysis.

Note:

Present Address: Department of Anaesthesia, Toronto General Hospital, 101 College Street, Toronto, Ont., M5G 1L7.

Key Words: ANAESTHESIA, complications • LUNG, giant bulla






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Copyright © 1981 by the Canadian Anesthesiologists' Society.