Indian Journal of Anaesthesia

CASE REPORT
Year
: 2011  |  Volume : 55  |  Issue : 4  |  Page : 395--398

Acute hypoxaemia due to intraoperative lung collapse after repositioning the patient


Bina P Butala, Veena R Shah, Guruprasad P Bhosale 
 Department of Anaesthesia and Critical Care, Smt. G. R. Doshi and Smt. K. M. Mehta Institute of Kidney Diseases and Research Centre & Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India

Correspondence Address:
Bina P Butala
Department of Anaesthesia and Critical Care, Smt. G. R. Doshi and Smt. K. M. Mehta Institute of Kidney Diseases and Research Centre & Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat - 380 016
India

Desaturation after induction of anaesthesia and repositioning due to mucus plug causing atelectasis (lung collapse) is a rare event. We present a case of intraoperative right lung collapse due to mucus plug in a patient undergoing left laparoscopic nephrectomy. Hypoxaemia occurred after the induction of anaesthesia and repositioning. X-ray chest revealed right lung collapse and surgery was subsequently postponed. Lung re-expanded after postural drainage and suction. Postoperatively patient was diagnosed to have retrocardiac bronchiectasis. After preoperative preparation with postural drainage, chest physiotherapy, and antibiotics, the patient underwent surgery uneventfully.


How to cite this article:
Butala BP, Shah VR, Bhosale GP. Acute hypoxaemia due to intraoperative lung collapse after repositioning the patient.Indian J Anaesth 2011;55:395-398


How to cite this URL:
Butala BP, Shah VR, Bhosale GP. Acute hypoxaemia due to intraoperative lung collapse after repositioning the patient. Indian J Anaesth [serial online] 2011 [cited 2013 May 26 ];55:395-398
Available from: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2011;volume=55;issue=4;spage=395;epage=398;aulast=Butala;type=0