Journal of Anesthesia

, Volume 21, Issue 1, pp 66–68

Pulmonary atelectasis manifested after induction of anesthesia: a contribution of sinobronchial syndrome?

Authors

  • Ayuko Igarashi
    • Department of Anesthesiology and Intensive CareYamagata Prefectural Shinjo Hospital
  • Sumio Amagasa
    • Department of Anesthesiology and Intensive CareYamagata Prefectural Shinjo Hospital
  • Shinya Oda
    • Department of Anesthesiology and Intensive CareYamagata Prefectural Shinjo Hospital
  • Noriko Yokoo
    • Department of Anesthesiology and Intensive CareYamagata Prefectural Shinjo Hospital
Article

DOI: 10.1007/s00540-006-0451-4

Cite this article as:
Igarashi, A., Amagasa, S., Oda, S. et al. J Anesth (2007) 21: 66. doi:10.1007/s00540-006-0451-4

Abstract

A 31-year-old man underwent general anesthesia for sinus surgery. Anesthesia was induced with midazolam and butorphanol, and an endotracheal tube was orally placed with a bronchoscope, due to difficulty with temporomandibular joint opening. Ventilation difficulty and increased peak inspiratory pressure were noticed shortly after tracheal intubation, and bronchoscopy was performed for diagnosis. The bronchi were filled with a clear mucous secretion. Removal of the secretion improved respiration and decreased the peak inspiratory pressure. A chest roentgenogram taken prior to extubation showed right upper lobe atelectasis. A diagnosis of sinobronchial syndrome was made postoperatively. The etiology of the acutely developed atelectasis was unclear. However, the latent syndrome may have induced excessive airway secretion with stimuli such as endotracheal intubation.

Key words

Pulmonary atelectasisSinobronchial syndromeChronic sinusitis

Copyright information

© JSA 2007