Rapid identification of spontaneously resolving capnothorax using bedside M-mode ultrasonography during laparoscopic surgery: the 'lung point' sign -two cases report

Autor: Dong-Min Jang, Hyung-Seok Seo, Ji Hyun Park, Byungdoo Lee, Jun-Gol Song, Gyu-Sam Hwang
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Korean Journal of Anesthesiology, Vol 65, Iss 6, Pp 578-582 (2013)
Druh dokumentu: article
ISSN: 2005-6419
2005-7563
DOI: 10.4097/kjae.2013.65.6.578
Popis: Pneumothorax during general anesthesia is more difficult to diagnose compared with that of non-anesthetized patient. Furthermore, the early diagnosis of pneumothorax is to some extent difficult due to CO2-pneumoperitoneum during laparoscopic surgery. The use of ultrasonography to diagnose pneumothorax has increased in a variety of situations, demonstrating a better diagnostic rate than conventional chest radiography. Here, we report two cases of intraoperative capnothorax that were confirmed using the M-mode "lung point" sign. However, the insertion of a chest tube could have been avoided because the spontaneous resolution of capnothorax was quickly identified using bedside lung ultrasonography.
Databáze: Directory of Open Access Journals