Anaesthetic management of patients with pulmonary hydatid cyst

Abstract EN

Hydatid cyst is a disease produced by the encysted Larvae of echinococcal worms.

Echinococcus granuloses is endemic in areas of the Mediterranean coast and middle east, Surgical intervention to remove the cyst that is commonly seen in liver and lung is the primary treatment for hydated disease.

Sixty- three patients underwent lateral thoracotomy for pulmonary hydatd cyst in the last 4 years at Basra Teaching Hospital.

Special anesthetic technique was set for them including omission of premedication drugs, rapid sequence indication, preference of single lumen endotracheal tube than double lumen endobronchial tube, nitrous oxide gas exclusion from maintenance of anesthesia, ready stand–by good suction machine, manual low pressure ventilation, and careful monitoring.

Nine out of 24 cases with double lumen endobronchial tube showed severe hypoxia intraoperatively that demand urgent change of this type of tubes to signal lumen endotracheal tube.

Patient with endotracheal tube had smooth intraoperative environment and no postoperative complications.

It is concluded that using this anesthetic regimen from the start of operation for these particular cases makes anesthesia management more easy and safe.