Acta Anaesthesiologica Taiwanica
Volume 47, Issue 4 , Pages 212-215, December 2009

Recurrent Attacks of Post-intubation Right Upper Lobe Atelectasis

  • Kyung Yeon Yoo

      Affiliations

    • Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju, South Korea
    • Corresponding Author InformationCorresponding author. Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, 8 Hak-dong, Gwangju 501-190, South Korea
    • ,
  • Seok Jai Kim

      Affiliations

    • Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju, South Korea
    • ,
  • Cheol Won Jeong

      Affiliations

    • Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju, South Korea
    • ,
  • Seong Tae Jeong

      Affiliations

    • Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju, South Korea
    • ,
  • Yun Hyeun Kim

      Affiliations

    • Department of Radiology, Chonnam National University Medical School, Gwangju, South Korea
    • ,
  • Jong Un Lee

      Affiliations

    • Department of Physiology, Chonnam National University Medical School, Gwangju, South Korea

Received 9 June 2008; received in revised form 19 December 2008; accepted 24 December 2008.

Article Outline

A 22-year-old woman with no history of asthma developed an acute recurrent attack of severe bronchoconstriction and right upper lobe atelectasis immediately after laryngoscopy and endotracheal intubation. The first attack had taken place 2 months earlier under identical circumstances. Induction of anesthesia for tracheal intubation was achieved using propofol, fentanyl, and rocuronium. Bronchial obstruction and bronchial intubation were excluded by bronchoscopy. The atelectasis was quickly resolved with mechanical ventilation and spasmolytic treatment on both occasions. The surgical procedure could proceed soon after resolution of the atelectasis.

KEY WORDS:  anesthesia, general , propofol , pulmonary atelectasis

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Seto K , Goto H , Hacker DC , Arakawa K . Right upper lobe atelectasis after inadvertent right main bronchial intubation . Anesth Analg . 1983;62:851–854
  2. Shaw IH . Collapse of the lung during hemithyroidectomy . Anaesthesia . 1990;45:61
  3. Ding Y , White PF . Lung collapse after induction of anesthesia in a healthy outpatient . Anesthesiology . 1994;80:689–690
  4. Casanueva J , Gilsanz FJ , Hernando P , Navarro E , Avello F . An infrequent cause of pulmonary atelectasis during mechanical ventilation . Br J Anaesth . 1981;53:319; [Correspondence]
  5. de Takats G , Fenn GK , Jenkinson EL . Reflex pulmonary atelectasis . JAMA . 1942;120:686–690
  6. Sprung J , Lazada LJ , Zannetin G , Banoub M . Bilobar atelectasis after difficult tracheal intubation . Anaesthesia . 1997;52:1205–1211
  7. Sprung J , Schoenwald PK , Hayden J . Bronchospasm and “reflex right upper lobe atelectasis” . Anesthesiology . 1998;89:803; [Correspondence]
  8. Critchley LA , Ho AM , Lee SY . Right upper lobe collapse secondary to an anomalous bronchus after endotracheal intubation for routine surgery . Anaesth Intensive Care . 2007;35:274–277
  9. Nadel JA , Widdicombe JG . Reflex effects of upper airway irritation on total lung resistance and blood pressure . J Appl Physiol . 1962;17:861–865
  10. Pizov R, Brown RH, Weiss YS, Baranov D, Hennes H, Baker S, et al. Wheezing during induction of general anesthesia in patients with and without asthma: a randomized blinded trial . Anesthesiology . 1995;82:1111–1116
  11. Hashiba E , Hirota K , Suzuki K , Matsuki A . Effects of propofol on bronchoconstriction and bradycardia induced by vagal nerve stimulation . Acta Anaesthesiol Scand . 2003;47:1059–1063
  12. Vervloet D , Pradal M , Castelain M . Drug Allergy . 2nd ed.. Marseille: Pharmacia & Upjohn; 1999;
  13. Nishiyama T , Hanaoka K . Propofol-induced bronchoconstriction: two case reports . Anesth Analg . 2001;93:645–646
  14. Oscar A , Weiss A , Lema M . Anaphylaxis due to propofol . Anesthesiology . 1992;77:384–386
  15. Laxenaire MC , Mata-Bermejo E , Moneret-Vautrin DA , Gueant JL . Life-threatening anaphylactoid reactions to propofol (Diprivan) . Anesthesiology . 1992;77:275–280
  16. Neal SM , Manthri PR , Gadiyar V , Wildsmith JA . Histaminoid reactions associated with rocuronium . Br J Anaesth . 2000;84:108–111
  17. Hattori J , Fujimura N , Kanaya N , Okazaki K , Namiki A . Bronchospasm induced by propofol in a patient with sick house syndrome . Anesth Analg . 2003;96:163–164
  18. Israili ZH , Hall WD . Cough and angioneurotic edema associated with angiotensin converting enzyme inhibitor therapy. A review of the literature and pathophysiology . Ann Intern Med . 1992;117:234–242
  19. Chan P , Tomlinson B , Huang TY , Ko JT , Lin TS , Lee YS . Doubleblind comparison of losartan, lisinopril and metolazone in elderly hypertensive patients with previous angiotensinconverting enzyme inhibitor-induced cough . J Clin Pharmacol . 1997;37:253–257
  20. Ebihara S , Ebihara T , Yamanda S , Asada M , Arai H . Angiotensinconverting enzyme inhibitors and smoking cessation . Respiration . 2007;74:478
  21. Moylan FMB , Shannon DC . Preferential distribution of lobar emphysema and atelectasis in bronchopulmonary dysplasia . Pediatrics . 1979;63:130–134

PII: S1875-4597(09)60058-8

doi:10.1016/S1875-4597(09)60058-8

Acta Anaesthesiologica Taiwanica
Volume 47, Issue 4 , Pages 212-215, December 2009

Article Tools