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LETTER TO THE EDITOR

The Nephroscope Used for Emergency Therapeutic Bronchoscopy

Murali Chakravarthy, MD, Venkatesh Krishnamoorthy, MCh, Dilip Rangarajan, DM, Subramanyam Rajeev, MD, Srinivas Belur, MS

Wockardt Hospitals, Bannerghatta Road, Bangalore, India, Nephro Urology Trust Hospital, Bangalore, India

The first 20% of the full text of this article appears below.

To the Editor:

The primary aim of the physician is to manage patients safely and many times only with the available instruments, particularly during emergencies. We describe a case of acute ‘white-out’ of left lung in the postoperative patient where we successfully employed a nephroscope (working length 37cm) for bronchoscopy.

A 60-year old male with a history of hypertension, diabetes, asthma and smoking underwent left radical nephrectomy under general anesthesia. At the end of surgery, following reversal of neuromuscular blockers, he developed severe bronchospasm. Partial pressure of arterial carbon dioxide was elevated and oxygen level . . . [Full Text of this Article]

Asian Cardiovasc Thorac Ann 2009; 17:113-114
© 2009 by SAGE Publications
DOI: 10.1177/0218492309102610




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