Tension Pneumothorax during Liver and Kidney Transplantation in a Patient with Adult Polycystic Kidney Disease
Journal Title: Journal of Anesthesia and Surgery - Year 2017, Vol 4, Issue 1
Abstract
Administering anesthesia to patients undergoing liver transplantation often yields intraoperative hemodynamic instability During this type of major surgery many factors may contribute to hemodynamic collapse including myocardial infarction pulmonary embolus bleeding and preload reduction owing to inferior vena cava clamping Pneumothorax a potentially dangerous condition can arise unexpectedly during anesthesia Diagnosis is based on exclusion as the initial vital sign changes including cardiorespiratory decompensation are non-specific Here we describe the case of a patient with adult polycystic kidney disease who developed intraoperative cardiovascular collapse and hypoxemia owing to tension pneumothorax during liver and kidney transplantation We highlight the etiology of intraoperative tension pneumothorax the sequence of hemodynamic changes and the importance of early diagnosis and treatment
Authors and Affiliations
Souki Fouad Ghazi
Keywords
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- EP ID EP418829
- DOI 10.15436/2377-1364.17.071
- Views 109
- Downloads 0
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