[Anesthetic management of a patient with Swyer-James syndrome].

Abstract

Swyer-James syndrome (SJS) shows the constellation of radiographic findings of a small, hyper lucent lung, with an ipsilateral, diminished peripheral vasculature, air trapping, and a lack of peripheral fill on bronchography. We report a case of 70-year-old woman with SJS who underwent pulmonary resection of the normal side lung for lung tumor. Because of this syndrome, we could predict the hypoxia during one-lung ventilation. In fact, about ten minutes after beginning of one-lung ventilation, Sp(O2) decreased from 100% to 90%. As we could not improve the hypoxia in spite of increasing FI(O2), O2 administration to the operating side lung was started. Sp(O2) recovered after O2 administration. For anesthetic management of a patient with SJS in the normal-side-lung, it is essential to prevent the hypoxia during one-lung ventilation.

• Authors: Nobuyuki Kishi, Takashi Kawasaki, Yuya Miyazaki, Takeyoshi Sata
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 59 Issue 10 Pg. 1301-4 (Oct 2010) ISSN: 0021-4892 [Print] Japan
• PMID: 20960909 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Anesthesia, General (methods)
• Female
• Humans
• Hypoxia (prevention & control)
• Lung, Hyperlucent (surgery)
• Pneumonectomy