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Anaesth Intensive Care · Apr 2001
Case ReportsExcision of a giant hydatid cyst of the lung under thoracic epidural anaesthesia.
- R A Dyer, P C Gordon, K M De Groot, G Walther, and M F James.
- Department of Anaesthesia, Groote Schuur Hospital, Observatory, Cape Town, South Africa.
- Anaesth Intensive Care. 2001 Apr 1;29(2):181-4.
AbstractWe present a patient with a large pulmonary hydatid cyst compressing underlying lung, with previous pulmonary tuberculosis, who presented in respiratory failure. After institution of thoracic epidural anaesthesia employing 0.25% bupivacaine, 1% lignocaine and fentanyl, the patient was placed in the sitting position and the hydatid cyst excised and drained after a limited rib resection. An air leak persisted until the 16th postoperative day. A marked improvement in symptoms as well as in spirometly and arterial blood gases occurred, and the patient was discharged on the 20th day. Thoracic epidural anaesthesia may be a safer method than general anaesthesia for removal of a hydatid cyst in a patient with severe respiratory compromise.
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