http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=11152024

Acta Anaesthesiol Scand. 2001 Jan;45(1):123-6. Related Articles, Links  

  
Bilateral pulmonary edema after endoscopic sympathectomy in a patient with glucose-6-phosphate dehydrogenase deficiency.

Lan CJ, Luk HN, Wu CT, Chang WK, Tsou MY, Lui PW, Lee TY.

Department of Anesthesiology, Veterans General Hospital-Taipei, School of Medicine, National Yang-Ming University, Taiwan, ROC. blues729@ms36.hinet.net

Transaxillary endoscopic sympathectomy of thoracic ganglia (T2-T3) has recently gained wider acceptance as the treatment of choice for palmar hyperhidrosis. It requires one-lung ventilation to facilitate the surgery. One-lung ventilation, however, is not without complications, among which acute pulmonary edema has been reported. In this case report, we present a patient with palmar hyperhidrosis complicated by glucose-6-phosphate dehydrogenase (G-6-PD) deficiency, who received bilateral endoscopic sympathectomy under alternate one-lung anesthesia, and developed acute pulmonary edema immediately after recruitment of the successive collapsed lung. The effects of hypoxemia, G-6-PD deficiency and sympathectomy might all add to the development of acute pulmonary edema secondary to reexpansion of each individual lung after alternate one-lung ventilation. The possibilities of the inferred causes are herein discussed.

Publication Types: 
Case Reports

PMID: 11152024 [PubMed - indexed for MEDLINE] 
/////////////////////////////////////////////////////////////////////////////////////////
http://www.blackwell-synergy.com/openurl?genre=article&sid=nlm:pubmed&issn=0001-5172&date=2001&volume=45&issue=1&spage=123

Abstract 
 
 
Download to reference manager 

--------------------------------------------------------------------------------
Acta Anaesthesiologica Scandinavica
Volume 45 Issue 1 Page 123  - January 2001
doi:10.1034/j.1399-6576.2001.450119.x 
  
 
Case Report  
Bilateral pulmonary edema after endoscopic sympathectomy in a patient with glucose-6-phosphate dehydrogenase deficiency 
C.-J. Lan, H.-N. Luk, C.-T. Wu, W.-K. Chang, M.-Y. Tsou, P.-W. Lui and T.-Y. Lee 
Transaxillary endoscopic sympathectomy of thoracic ganglia (T2T3) has recently gained wider acceptance as the treatment of choice for palmar hyperhidrosis. It requires one-lung ventilation to facilitate the surgery. One-lung ventilation, however, is not without complications, among which acute pulmonary edema has been reported. In this case report, we present a patient with palmar hyperhidrosis complicated by glucose-6-phosphate dehydrogenase (G-6-PD) deficiency, who received bilateral endoscopic sympathectomy under alternate one-lung anesthesia, and developed acute pulmonary edema immediately after recruitment of the successive collapsed lung. The effects of hypoxemia, G-6-PD deficiency and sympathectomy might all add to the development of acute pulmonary edema secondary to reexpansion of each individual lung after alternate one-lung ventilation. The possibilities of the inferred causes are herein discussed. 
 
