Saudi Journal of Anaesthesia

CASE REPORT
Year
: 2016  |  Volume : 10  |  Issue : 3  |  Page : 359--361

A case of bronchiectasis needing lung isolation for cerebello pontine angle tumor excision: Anesthetic challenges


C Srinivasan, GP Kurian, R Mariappan 
 Department of Anesthesia, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
R Mariappan
Department of Anesthesia, Christian Medical College, Vellore, Tamil Nadu
India

The main goals of neuroanesthesia are the maintenance of adequate cerebral perfusion pressure, avoidance of hypercarbia, hypoxemia, and to provide better brain relaxation. Providing anesthesia for a patient with bronchiectasis needing lung isolation for craniotomy can be challenging. A 56-year-old male patient, case of right lung bronchiectasis with a right cerebello pontine angle tumor underwent excision in the left lateral position. Since he had severe bronchiectasis of the right lung, we had isolated the right lung using right-sided double lumen tube to avoid spillage. Intraoperative split lung test was performed to assess the right lung contribution on carbon dioxide (CO 2 ) elimination and found that there was a significant contribution from the right lung. Hence, both lungs were ventilated to control CO 2 . The importance of lung isolation to prevent spillage and avoidance of one lung ventilation to control the arterial CO 2 are highlighted in this case report. By providing a balanced anesthetic keeping both, the neurosurgical and thoracic concerns are important for better postoperative outcome.


How to cite this article:
Srinivasan C, Kurian G P, Mariappan R. A case of bronchiectasis needing lung isolation for cerebello pontine angle tumor excision: Anesthetic challenges.Saudi J Anaesth 2016;10:359-361


How to cite this URL:
Srinivasan C, Kurian G P, Mariappan R. A case of bronchiectasis needing lung isolation for cerebello pontine angle tumor excision: Anesthetic challenges. Saudi J Anaesth [serial online] 2016 [cited 2020 Aug 7 ];10:359-361
Available from: http://www.saudija.org/article.asp?issn=1658-354X;year=2016;volume=10;issue=3;spage=359;epage=361;aulast=Srinivasan;type=0