• A & A case reports · Mar 2015

    Case Reports

    Utility of intraoperative lung ultrasonography.

    • Thomas Edrich, Cristina Pojer, Gerhard Fritsch, Joerg Hutter, Philip M Hartigan, Ottokar Stundner, Peter Gerner, and Marc M Berger.
    • From the Departments of *Anesthesiology, Perioperative Medicine and General Intensive Care Medicine and †Surgery, Salzburg General Hospital, Salzburg, Austria; ‡Paracelsus Medical University, Salzburg, Austria; and §Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
    • A A Case Rep. 2015 Mar 15;4(6):71-4.

    AbstractA patient with an endobronchial tumor and critical airway obstruction developed hypoxia and hypercarbia and, subsequently, cardiac arrest during a palliative laser core-out excision. The differential diagnosis included tension pneumothorax, as well as airway obstruction due to swelling of residual tumor or to blood clots. In this case, empiric needle decompression could have had deleterious consequences. Immediate bedside lung ultrasonography provided real-time information leading to the stabilization of the patient. This case provides compelling motivation for anesthesiologists to acquire this easily learned skill.

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