Abstract:
A 62-year-old man suffering from septic shock and acute respiratory failure underwent left empyema drainage and lung decortication. The patient's perioperative complications included a large air leak following the surgery, which posed a challenge for the anesthesiologist in terms of managing mechanical ventilation. The air leak mimicked a broncho-pleural fistula, which is a rare complication that can occur following lung resection, but it was not a true broncho-pleural fistula. The patient was managed with single-lung ventilation using a double-lumen endobronchial tube, but the air leak caused sudden loss of positive end-expiratory pressure and tidal volume, leading to severe refractory hypoxemia. The authors suggest that the use of differential independent lung ventilation may improve gas exchange in such cases.
Biography:
Dr. REDA EL BAYOUMY has been Consultant Anaesthetist in anaesthetics & intensive care medicine. Lead regional anaesthetics, acute pain management, enhanced recovery programmes (ERP), day-case surgery unit. Lead clinician in pediatrics, obstetrics, thoracic & vascular surgery. Certificate of Eligibility for Specialist Registration in Anaesthetics (CESR) issued by Postgraduate Medical Education and Training Board (PMETB)& Royal College of anaesthetists (RCA) London, the United Kingdom April 2010. European Diploma of Regional Anaesthetics & Pain Management (EDRA) in September 2009. French Diplomas of Specialised Training in Anaesthetics and Intensive Care Medicine. Interuniversity Diploma (French Board) in Paediatric Anaesthetics and Intensive Care in October 2006 Faculty of Medicine, Lille University, France. Specialized Diploma in Anaesthetics & Intensive Care Medicine in November 2005, Faculty of Medicine, Strasbourg University, France. Medical Degree Thesis (M.D.) in Cardiothoracic Anaesthetics Faculty of Medicine, Leiden University, Netherlands Faculty of Medicine, Cairo University, Egypt, December 2000. He completed his Master of Science Degree (M.Sc.) in Anaesthetics, May 1993, Faculty of Medicine, Cairo University, Egypt. Medical Bachelor and Bachelor of Chirurgie (M.B.B.Ch.) in December 1993, Faculty of Medicine, Cairo University, Egypt. Currently working as Consultant Anaesthetist in the Mid and South Essex NHS University Hospitals, UK; Honorary lecturer in Anaesthetics and Physiology in Faculty of Medicine, Anglia Ruskin University, UK.
