Unilateral pulmonary edema after laparoscopic nephrectomy

Shreepathi Krishna Achar, Cherish Paul, Elsa Varghese

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Unilateral-dependent pulmonary edema though reported in laparoscopic donor nephrectomies, has not been reported after laparoscopic non-donor nephrectomies. A 75-kg, 61-year-old man, a diagnosed case of right renal cell carcinoma was scheduled for laparoscopic nephrectomy. After establishing general anesthesia, the patient was positioned in the left-sided modified kidney (flank) position. During the 5.75-hour procedure, he was hemodynamically stable except for a transient drop in blood pressure immediately after positioning. Intra-abdominal pressure was maintained less than 15 mmHg throughout the procedure. Blood loss was approximately 50 mL and urine output was 100 mL in the first hour followed by a total of 20 mL in the next 4.75 hours. Total fluid received during the procedure included 1.5 L of Ringer's lactate and 1.0 L of 6% hydroxyethyl starch. After an uneventful procedure he developed respiratory distress in the postoperative period with a radiological evidence of dependent lung edema. Clinical and radiological improvement followed noninvasive ventilation, intravenous diuretics and oxygen therapy.

Original languageEnglish
Pages (from-to)556-558
Number of pages3
JournalJournal of Anaesthesiology Clinical Pharmacology
Volume27
Issue number4
DOIs
Publication statusPublished - 01-10-2011
Externally publishedYes

Fingerprint

Pulmonary Edema
Nephrectomy
Noninvasive Ventilation
Renal Cell Carcinoma
Diuretics
Postoperative Period
Starch
General Anesthesia
Edema
Tissue Donors
Urine
Oxygen
Blood Pressure
Kidney
Pressure
Lung
Therapeutics

All Science Journal Classification (ASJC) codes

  • Pharmacology, Toxicology and Pharmaceutics(all)
  • Pharmacology (medical)
  • Anesthesiology and Pain Medicine

Cite this

Achar, Shreepathi Krishna ; Paul, Cherish ; Varghese, Elsa. / Unilateral pulmonary edema after laparoscopic nephrectomy. In: Journal of Anaesthesiology Clinical Pharmacology. 2011 ; Vol. 27, No. 4. pp. 556-558.
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Unilateral pulmonary edema after laparoscopic nephrectomy. / Achar, Shreepathi Krishna; Paul, Cherish; Varghese, Elsa.

In: Journal of Anaesthesiology Clinical Pharmacology, Vol. 27, No. 4, 01.10.2011, p. 556-558.

Research output: Contribution to journalArticle

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