Anesthetic management of total thyroidectomy and tracheostomy in a patient with Graves’ disease and bilateral pneumothorax : a case report

DOI Web Site 8 References

Bibliographic Information

Other Title
  • 両側気胸のバセドウ病患者に対する甲状腺全摘出術および気管切開術の麻酔管理

Search this article

Abstract

<p>General anesthesia in patients with pneumothorax without thoracic drainage requires attention to airway pressure. We present the case of a patient with Graves’ disease who was on ventilator management for right pneumothorax and left tension pneumothorax. He had bilateral pneumothorax but was managed with spontaneous breathing with only a left thoracic drain. With forced ventilation for general anesthesia, placement of a right thoracic drain was considered, but we wanted to avoid additional preoperative invasion due to his hyperthyroidism symptoms. To force-ventilate this patient without a right thoracic drain, it was important to avoid positive pressure ventilation of the right lung as much as possible. The patient underwent a total thyroidectomy with one-lung ventilation followed by a tracheostomy. After replacing the tracheostomy tube, the patient was placed on double-lung ventilation and spontaneous breathing was quickly established. This is a noteworthy case in which a small amount of remimazolam was used and a smooth transition to spontaneous breathing was achieved. This case was managed without pneumothorax exacerbation.</p>

Journal

References(8)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top