International Journal of Medical Anesthesiology
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P-ISSN: 2664-3766
E-ISSN: 2664-3774
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International Journal of Medical Anesthesiology

2019, Vol. 2, Issue 2, Part D
Anaesthetic management of a paediatric case of Bronchopleural fistula posted for open thoracotomy with decortication


Author(s): Dr. Kalpana Kulkarni, Dr. Priyanka Nimbalkar, Dr. Sravya Adda and Dr. Rashmi NS

Abstract: Bronchopleural fistula (BPF) is a sinus tract between the mainstem, lobar or segmental bronchus and the pleural space leading to an air leak from the lung into the pleural space. It is associated with significant morbidity and mortality. Managing mechanical ventilation in patient with BPF is a challenging situation for anaesthesiologist. Mean airway pressure should be kept minimal in BPF to reduce air leak flows. This case was more challenging because in paediatric patients’ minimum peak end expiratory pressures (PEEP) should be maintained to prevent atelectasis. Also one lung ventilation which is ideally adviced in BPF is difficult in paediatric patients due to wide variety of pathology, non-availability or limited sizes of lung isolation devices. We report a paediatric case with right sided Broncho pleural fistula posted for open thoracotomy with decortication, successfully managed under general +epidural anaesthesia.

DOI: 10.33545/26643766.2019.v2.i2d.60

Pages: 253-255 | Views: 239 | Downloads: 112

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How to cite this article:
Dr. Kalpana Kulkarni, Dr. Priyanka Nimbalkar, Dr. Sravya Adda and Dr. Rashmi NS. Anaesthetic management of a paediatric case of Bronchopleural fistula posted for open thoracotomy with decortication. International Journal of Medical Anesthesiology. 2019; 2(2): 253-255. DOI: 10.33545/26643766.2019.v2.i2d.60
International Journal of Medical Anesthesiology