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Journal of Research & Innovation in Anesthesia


Laparoscopic cardiomyotomy is the surgical mode of treatment for patients suffering from achalasia cardia. These patients are at a risk of developing intraoperative pneumothorax with hemodynamic and respiratory changes. We reported case of pneumothorax during laparoscopic cardiomyotomy. Patient developed hypotension, tachycardia, decreased air entry and increased peak airway pressure. We managed that case successfully. Hemodynamics was maintained with fluid and ephedrine. Patient was ventilated with 100% Oxygen and put on pressure cycled ventilator mode. Postoperatively patient was observed in ICU. While managing such cases, anesthetists should be aware of this complication and be vigilant.

Keywords: Achalasia cardia, Laparoscopic cardiomyotomy, Pneumothorax.

How to cite this article: Nayak S. Pneumothorax during Cardiomyotomy: Management. Res Inno in Anesth 2016;1(2):71-72.

Source of support: Nil

Conflict of interest: None.

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