RESUMO
Tension pneumothorax occurred in a 42 year old man with pulmonary tuberculosis during induction of general anesthesia for left lobectomy. Rupture of emphysematous bullse, presumably due to positive pressure ventilation employed during induction, was identified by immediate thoracotomy. The patient made an uneventful recovery.
Assuntos
Humanos , Anestesia Geral , Pneumotórax , Respiração com Pressão Positiva , Ruptura , Toracotomia , Tuberculose PulmonarRESUMO
The authors have experienced two cases of general anesthesia for repair of congenital diaphragmatic hernia. Both patients were female (1 year 5 months and 8 months of age) and had left sided Bochdalek hernia. Anesthesia was maintained with halothane-oxygen using nonrebreathing system with Ruben valve, and the patients tolerated the whole procedure very well. The importance of maintaining adequate ventilation with high concentrations of oxygen and avoiding abdominal distension has been stressed.