Anaesthesia conflict for emergency laparoscopy appendectomy in cystic fibrosis

A thirty-one years old gentleman presented for emergency laparoscopic appendectomy. The patient had multiple hospital admissions due to frequent respiratory tract infections associated with cystic fibrosis [CF]. The patient had severe productive cough and widespread coarse crepitations and wheezes. A recent large burned area was noticed on the lumbosacral region. General anaesthesia [GA] was the only anesthetic option available for this patient to undergo the emergency laparoscopy appendectomy despite his bad chest condition. The patient was discharged home after 96 hours, following an uneventful postoperative period