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CASE REPORT
Year : 2008  |  Volume : 52  |  Issue : 5  |  Page : 584

Anaesthesia for Lung Volume Reduction Surgery in Bilateral Bullous Lung Disease: A Case Report


1 Asst. Professor, Department of Anaesthesiology and Critical Care, Christian Medical College, Vellore, Tamil Nadu-632004, India
2 Professor and Head, Department of Anaesthesiology and Critical Care, Christian Medical College, Vellore, Tamil Nadu-632004, India

Correspondence Address:
Manickam Ponniah
Department of Anaesthesiology and Critical Care, Christian Medical College, Vellore, Tamil Nadu. 632004
India
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Source of Support: None, Conflict of Interest: None


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Lung Volume Reduction Surgery (LVRS) has become an accepted modality for chronic pulmonary emphy­sema. Bilateral involve excision of emphysematous alveoli, which results in a 20% to 30% reduction in the volume of each lung. The goal of LVRS is to improve the respiratory mechanics in severe emphysema by re-expanding func­tional lung tissue that has been compressed by over-distended emphysematous alveoli, thus restoring diaphragmatic mobility and improving the bellows function of the chest wall structures. Anaesthesia for LVRS is a significant challenge to the anaesthetist as a result of high risk patient population and the nature of surgery. Management requires good understanding of the pathophysiology of the disease and surgical procedure. Close co-ordination be­tween the anaesthetist, surgeon and other support staff are of paramount importance.


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