Rigid bronchoscopy in parturient: A balancing act
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Comprehensive anaesthetic management of rigid bronchoscopic coring of a bronchial tumour causing mass effect in a parturient has not been reported previously. Most of the available literature highlights the incidence, etiological factors, prognostic factors, diagnostic and therapeutic measures of lung carcinoma in a parturient. Safe conduct of anaesthesia in a pregnant female is a perplexing task. It requires expertise in airway management, precise knowledge of pathophysiological changes due to pregnancy and altered feto-maternal pharmacokinetics and pharmacodynamics. Foetal heart rate (FHR) monitoring is also recommended before and after the procedure, if the gestation is more than 20 weeks. We report a case of bronchial tumour excision in a pregnant female using a combination of rigid and flexible bronchoscope under general anaesthesia. This case report highlights the anaesthetic considerations regarding airway management of the parturient during rigid bronchoscopy and measures for preservation of utero-placental perfusion. Foetal heart rate monitoring using portable ultrasonography as a point-of-care device has been emphasised....

http://www.joacc.com/article.asp?issn=2249-4472;year=2017;volume=7;issue=1;spage=57;epage=59;aulast=Dubey
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