Rezende Joel Massari, Silveira Bruno Ricciardi
Hospital Infantil Darcy Vargas, Brazil.
Rev Bras Anestesiol. 2012 Jan-Feb;62(1):80-7. doi: 10.1016/S0034-7094(12)70106-X.
The main anesthesiologist's task is to ensure appropriate oxygenation of patient. The objective of this report is to describe both diagnosis and behavior in case of acute respiratory failure during anesthesia, with educational purposes.
Three-year-old child underwent anesthesia for urologic surgery presented respiratory failure by bronchial obstruction by secretion, evolving to atelectasis and hypertensive pneumothorax. We present the evolution of the case and applied treatment means, emphasizing the urgency and drainage technique in hypertensive pneumothorax.
The anesthesiologist's attention to early diagnosis of respiratory complications and knowledge of priority measures in each moment may prevent serious adverse effects.
麻醉医生的主要任务是确保患者获得适当的氧合。本报告的目的是出于教育目的，描述麻醉期间急性呼吸衰竭的诊断及应对措施。
一名三岁儿童接受泌尿外科手术麻醉时，因分泌物导致支气管阻塞出现呼吸衰竭，进而发展为肺不张和高压性气胸。我们呈现了该病例的进展及应用的治疗方法，重点强调了高压性气胸的紧急处理及引流技术。
麻醉医生对呼吸并发症的早期诊断予以关注，并了解每个阶段的优先措施，可能会预防严重的不良后果。
