Recurrent Attacks of Post-intubation Right Upper Lobe Atelectasis

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

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

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References

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a Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju, South Korea

b Department of Radiology, Chonnam National University Medical School, Gwangju, South Korea

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

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

PII: S1875-4597(09)60058-8

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

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