ANESTHETIC MANAGEMENT IN A PATIENT UNDERGOING FOR EXCISION OF LEFT LUNG AND LIVER HYDATID CYST

Dr Namrata Shah, Dr Kashi Annapurna G, Dr Priyal Shah, Dr Krati Singhal

Abstract


Hydatosis is a parasitic infection caused by the encysted larvae of Echinococcus granulosus, commonly called as hydatid
cyst, most commonly involving liver & lung. The anaesthetic concerns for surgery of hydatid cyst of lung and liver
includes possibility of rupture of the cyst causing anaphylactic reaction and problems due to one lung ventilation. We present our experience in the
successful management of a 44 year old female with hydatid cyst in lung and liver. On the day of surgery, after taking high risk informed consent;
nebulization was done. Thoracic Epidural catheter for perioperative analgesia was inserted, followed by induction and intubation with Left sided
double lumen tube. After completion of the surgery patient was extubated. The patient was unable to maintain the saturation was reintubated;
after diagnosed with right sided pneumothorax right sided ICD was inserted. Patient was shifted to ICU on T-tpiece and extubated after proper
ABG Analysis. Patient was extubated on the next day after ABG analysis. Later patient was discharged uneventfully. Hence early diagnosis and
vigilance is important for management of complications.


Keywords


Hydatid Cyst , Double Lumen Tube, One Lung Ventilation, Anaphylaxis

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