Анестезия и клинические исследования
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Anaesthetic Management of a Case of Giant Pulmonary Bulla Undergoing Laparoscopic Cholecystectomy

Bhaskar Dutta and Gangaprasad

Anaesthetic management of a patient with giant lung bulla who undergoes laparoscopic surgery deserves special considerations in view of the possible complications associated with the bulla. There may be acute enlargement or rupture of the bulla, necessitating emergency management. Precautionary measures which may be taken during anaesthesia include the avoidance of nitrous oxide, keeping low airway pressures during the surgery, immediate availability of chest drains in the anaesthetizing area and continuous monitoring including auscultation of the chest, observing airway pressures and arterial blood gas analysis.