Rapid identification of spontaneously resolving capnothorax using bedside M-mode ultrasonography during laparoscopic surgery: the "lung point" sign: two cases report.
10.4097/kjae.2013.65.6.578
- Author:
Dong Min JANG
1
;
Hyung Seok SEO
;
Ji Hyun PARK
;
Byungdoo LEE
;
Jun Gol SONG
;
Gyu Sam HWANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jaljary@naver.com
- Publication Type:Case Report
- Keywords:
Laparoscopy;
Pneumothorax;
Ultrasonography
- MeSH:
Anesthesia, General;
Chest Tubes;
Early Diagnosis;
Humans;
Laparoscopy*;
Lung;
Pneumothorax;
Radiography;
Thorax;
Ultrasonography*
- From:Korean Journal of Anesthesiology
2013;65(6):578-582
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pneumothorax during general anesthesia is more difficult to diagnose compared with that of non-anesthetized patient. Furthermore, the early diagnosis of pneumothorax is to some extent difficult due to CO2-pneumoperitoneum during laparoscopic surgery. The use of ultrasonography to diagnose pneumothorax has increased in a variety of situations, demonstrating a better diagnostic rate than conventional chest radiography. Here, we report two cases of intraoperative capnothorax that were confirmed using the M-mode "lung point" sign. However, the insertion of a chest tube could have been avoided because the spontaneous resolution of capnothorax was quickly identified using bedside lung ultrasonography.
