Anesthetic evaluation and management of a patient with thoracic endometriosis syndrome presenting for elective surgery
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作者:
Webb, Christopher A. J.
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Columbia Univ, Med Ctr, Coll Phys & Surg, Dept Anesthesiol, New York, NY 10032 USAColumbia Univ, Med Ctr, Coll Phys & Surg, Dept Anesthesiol, New York, NY 10032 USA
Webb, Christopher A. J.
[1
]
Weber, Garret M.
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Columbia Univ, Med Ctr, Coll Phys & Surg, Dept Anesthesiol, New York, NY 10032 USAColumbia Univ, Med Ctr, Coll Phys & Surg, Dept Anesthesiol, New York, NY 10032 USA
Weber, Garret M.
[1
]
Raker, Richard K.
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Columbia Univ, Med Ctr, Coll Phys & Surg, Dept Anesthesiol, New York, NY 10032 USAColumbia Univ, Med Ctr, Coll Phys & Surg, Dept Anesthesiol, New York, NY 10032 USA
Raker, Richard K.
[1
]
机构:
[1] Columbia Univ, Med Ctr, Coll Phys & Surg, Dept Anesthesiol, New York, NY 10032 USA
Thoracic endometriosis syndrome is a relatively uncommon disorder characterized by recurrent pneumothoraces, hemothorax, chest pain, dyspnea, and hemoptysis within 48 to 72 hours of menstruation. A 34 year old, ASA physical status 2 woman with recurrent catamenial pneumothoraces due to thoracic endometriosis syndrome is presented. After treatment with video-assisted thoracoscopic surgery, she underwent successful elective diagnostic abdominal laparoscopy without incident. The presence of parenchymal injury and damage predisposes these patients to ventilator-induced lung injury. Postponement of surgery until the intermenstrual period, with lung protective ventilation, allows patients with this disease to successfully undergo general anesthesia and surgery. (C) 2013 Elsevier Inc. All rights reserved.