VOLUME 7 , ISSUE 2 ( July-December, 2022 ) > List of Articles
Lavanya Thakur, Raghbirsingh Gehdoo
Keywords : Anesthesia, One lung ventilation, Postoperative pulmonary complications, Thoracotomy
Citation Information : Thakur L, Gehdoo R. Anesthetic Management of a Patient with Giant Emphysematous Bullae undergoing Bullectomy with Lobectomy: A Case Report. Res Inno in Anesth 2022; 7 (2):53-55.
DOI: 10.5005/jp-journals-10049-2014
License: CC BY-NC 4.0
Published Online: 22-10-2022
Copyright Statement: Copyright © 2022; The Author(s).
Introduction: Bullae are thin-walled, air filled intraparenchymal lung spaces caused by the loss of alveolar structural tissue. Giant bulla refers to the one that occupies more than 30% of the hemithorax. After the thorough clinical and radiological assessment, patients with bulla can be taken up for surgeries like local excision/bullectomy, lobectomy, segmental resection, and minimal access surgery technique with laser and videoscopy. Case presentation: An atypical case of a 48-year-old female with a giant bulla measuring 14.2 x 9.7 x 13.7 cm almost completely involving left lung with passive collapse of left upper lobe, managed successfully using lung isolation technique and a well planned post-operative pain management. Conclusion: Anesthetist should consider an extensive preoperative evaluation to identify the high risk factors, reversibility of underlying lung disease and stratify a successful perioperative management with a smooth, pain free post-operative recovery in such patients.
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