POSTOPERATIVE MANAGEMENT OF EXTRAPLEURAL PNEUMONECTOMY- A CASE REPORT

Dr.Misha Agarwal; Dr.Anupama Kumari; Dr.Jayshree Thakkar; Dr. Bijal Shah; Dr. Prashant Makwana

Volume : VIII, Issue : XII, December - 2019

POSTOPERATIVE MANAGEMENT OF EXTRAPLEURAL PNEUMONECTOMY- A CASE REPORT

Dr. Misha Agarwal, Dr. Anupama Kumari, Dr. Jayshree Thakkar, Dr. Bijal Shah, Dr. Prashant Makwana

Abstract :

Malignant pleural mesothelioma is a rare tumour with survival of 9–17 months after diagnosis. Radical surgical resection by extra‑pleural pneumonectomy is the mainstay of treatment with high perioperative morbidity and mortality. Anaesthetic management is challenging due to the complex pathophysiological changes associated with prolonged duration of surgery, one‑ lung ventilation, haemodynamic instability due to major blood loss and cardiac arrhythmias. The major cause of morbidity and mortality post operatively is respiratory complications. Our case report highlights the role of anaesthetic management in reducing postoperative complications by thorough pre‑operative assessment and advanced intra‑operative and post–operative management with prompt corrective interventions to improve patient outcome.