[Anesthesia management for a patient with pulmonary eosinophilic granuloma associated with bilateral pneumothorax--general anesthesia with positive pressure ventilation].
Pulmonary eosinophilic granuloma (PEG) is a rare fibroinflammatory disorder and is characterized by a mixed interstitial infiltrate of eosinophils, lymphocytes and Langerhans cells. We experienced anesthetic management for a patient with PEG associated with bilateral pneumothorax. Anesthesia was maintained with epidural anesthesia and general anesthesia using positive pressure ventilation. At first we ventilated with a low airway pressure, but recognized an increase in endtidal CO2. Then we switched to a high airway pressure (= 22 cmH2O) and decreased the concentration of carbon dioxide. No new air leaks were observed by ventilating with the high airway pressure. It was concluded that in anesthetic management for PEG we must be careful about the airway pressure during operation.
Matsumoto
K
K
Department of Anesthesia, Oita Red Cross Hospital.
Yoshitake
S
S
Noguchi
T
T
D000328:Adult; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D004803:Eosinophilic Granuloma / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D011030:Pneumothorax / Q000150:complications* / Q000601:surgery; D011175:Positive-Pressure Respiration; D011657:Pulmonary Eosinophilia / Q000150:complications* / Q000601:surgery