A rare cause of respiratory distress after transthoracic oes
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Abstract
Transthoracic oesophagectomy is a standard surgical procedure for oesophageal cancer. Because of thoracotomy and lung handling, perioperative pulmonary complications make such procedures challenging. The issues related to respiratory complications may be predicted and managed accordingly. However, we report two cases of respiratory compromise caused due to a peculiar iatrogenic component.

Case
A 39-year-old woman, known case of oesophageal carcinoma, was scheduled for TTE with extended two-field lymphadenectomy with gastric pull-up with cervical neck oesophago-gastric anastomosis and feeding jejunostomy. She had history of hypertension since 4 years and controlled on amlodipine (10 mg) and atenolol (50 mg). She had also received pre-operative radiotherapy. The anaesthetic management and monitoring were as per institutional protocol and was administered epidural and general anaesthesia. As a part of operative procedure, right intercostal drain (ICD) and corrugated neck drain were placed. The intraoperative period was uneventful......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4697248/
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