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Can Anaesth Soc J

Title:		Anaesthetic considerations in bronchial adenoma
Author(s):		Murphy DM; Lockhart CH; Burrington JD;
Address:
Journal Title:		Can Anaesth Soc J
Year:		1975
Volume:		22
Issue:		6
Page Number:		710 - 714
DOI:		10.1007/BF03013320
ISSN/ISBN:		0008-2856 (Print) 0008-2856 (Linking)
Abstract:		"The patient with bronchial adenoma can present a puzzling diagnostic dilemma as well as challenging problems in anaesthetic management. Several aspects are reviewed in this report. Diagnostically these include chest roentgenographic findings and unique pulmonary function test. Problems in anaesthetic management include possible development of acute carcinoid syndrome, as this tumour is usually of the carcinoid variety. In addition, the tumour may act as a ball valve, causing uneven ventilation of affected lung with expiratory air trapping. Several factors may necessitate prolonged bronchial blockage during anaesthesia. These include a friable mass which may bleed profusely upon manipulation, infected and atelectatic parenchymal tissue beyond the obstruction, copious volumes of purulent secretions, and one lung ventilation during resection"
Keywords:		"Adenoma/*surgery Adolescent *Anesthesia Anesthesia, Inhalation Bronchial Neoplasms/*surgery Carcinoid Tumor/*surgery Female Halothane Humans Oxygen Thiopental;"
Notes:		"MedlineMurphy, D M Lockhart, C H Burrington, J D eng Case Reports Canada 1975/11/01 Can Anaesth Soc J. 1975 Nov; 22(6):710-4. doi: 10.1007/BF03013320"