Release Date: 2024-03-25

Anesthetic Management in Lung Cyst Hydatid

Release Date: 2024-03-25

Hydatid cyst infection of the lung is a chronic disease caused by the parasite Echinococcus granulosus, prevalent in rural and livestock-raising areas. The parasite, residing in dogs’ intestines, can infect humans through contaminated feces, leading to cysts in various organs, primarily the liver and lungs. Diagnosis involves imaging and serological tests, while treatment options include [...]

Media Type
  • PDF

Buy from

Price may vary by retailers

Work TypeBook Chapter
Published inThoracic Infections
First Page147
Last Page152
DOIhttps://doi.org/10.69860/nobel.9786053358930.13
ISBN978-605-335-893-0 (PDF)
LanguageENG
Page Count6
Copyright HolderNobel Tıp Kitabevleri
Licensehttps://nobelpub.com/publish-with-us/copyright-and-licensing
Hydatid cyst infection of the lung is a chronic disease caused by the parasite Echinococcus granulosus, prevalent in rural and livestock-raising areas. The parasite, residing in dogs’ intestines, can infect humans through contaminated feces, leading to cysts in various organs, primarily the liver and lungs. Diagnosis involves imaging and serological tests, while treatment options include medical, percutaneous, and surgical methods. Anesthesia management is crucial during hydatid cyst surgery due to respiratory system challenges, including side-lying positioning, open pneumothorax, and one-lung ventilation. Preoperative evaluation involves a multidisciplinary team assessing the patient’s medical history, physical condition, and medication use, with a focus on cardiovascular and respiratory systems. During surgery, single lung ventilation techniques are used to prevent cyst content aspiration and reduce complications such as anaphylaxis and ventilation-perfusion mismatch. Postoperative complications include prolonged air leak, atelectasis, and empyema, with recurrence rates up to 3.3% and operative mortality not exceeding 2%. Anesthetic management tailored to each patient enhances recovery and minimizes complications.

Mehmet Ali Turgut (Author)
Dr., Mardin Training and Research Hospital
https://orcid.org/0000-0002-7805-6077
3Dr. Mehmet Ali Turgut is a scientist who has made original contributions in the field of anesthesiology and reanimation medical practice with a professional career of 9 years. He completed his education as follows: 2021 Currently : Mardin Training and Research Hospital, 2016 - 2021 : Gaziantep University Faculty of Medicine Anesthesiology And Reanimation Residency, 2014-2016 : Batman Center Family Medicine Unit, 2011 - 2014: Omerli State Hospital, 2005- 2011: Dicle University Faculty Of Medicine.Dr. Turgut has significant experience in Anesthesiology and Reanimation in various hospitals. He is currently working in the Department of Anesthesiology and Reanimation at Mardin Training and Research Hospital.

  • Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clinical microbiology reviews. 2004;17(1):107-35.

  • Siracusano A, Delunardo F, Teggi A, Ortona E. Host-parasite relationship in cystic echinococcosis: an evolving story. Journal of Immunology Research. 2012;2012.

  • Pokhriyal AS, Tomar S, Saran V. Anesthetic management of the patient with large pulmonary hydatid cyst: A case report. Bali Journal of Anesthesiology. 2024;8(1):53-6.

  • Lupia T, Corcione S, Guerrera F, Costardi L, Ruffini E, Pinna SM, Rosa FG. Pulmonary echinococcosis or lung hydatidosis: A narrative review. Surg Infect (Larchmt) 2021;22(5):485–495.

  • Brunetti E, Kern P, Vuitton DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta tropica. 2010;114(1):1-16.

  • Altan, Yüce H, Küçük A, Aydoğan H, Yalçin S, Yildirim Z. Anesthetic management in hydatid disease: a review of 435 cases. Clin Ter. 2014;165(2):e90-3.

  • Toraks Cerrahisinde Anestezi. Morgan & Mikhail Klinik Anesteziyoloji 7 Baskı. Ankara: Güneş Tıp Kitapevi; 2024. p. 555-80.

  • Stošić B, Janković R. MR-AFM, 2006 U. Anesthesiological treatment of patients with echinococcal hepatic cyst. Acta Facultatis Medicae Naissensis. 2006; 23(1): 19-24

  • Ameliyat Öncesi Değerlendirme Premedikasyon ve Perioperatif Dokümantasyon. Morgan & Mikhail Klinik Anesteziyoloji. Ankara: Güneş Kitap Evi; 2024. p. 295-307.

  • Della Rocca G, Vetrugno L, Coccia C, Pierconti F, Badagliacca R, Vizza CD, et al. Preoperative evaluation of patients undergoing lung resection surgery: defining the role of the anesthesiologist on a multidisciplinary team. Journal of Cardiothoracic and Vascular Anesthesia. 2016;30(2):530-8.

  • Esme H, Fidan H, Cekirdekli A. The problems and advantages of one lung ventilation during surgical intervention in pulmonary hydatid cyst disease. Indian Journal of Thoracic and Cardiovascular Surgery. 2006;22:137-40.

  • Campos JH. An update on bronchial blockers during lung separation techniques in adults. Anesthesia & Analgesia. 2003;97(5):1266-74.

  • JL B. Difficult tubes and difficult airways. J Cardiothorac Vasc Anesth. 1998;12:131-2.

  • Yüceyar L, Kaynak K, Canturk E, Aykac B. Bronchial rupture with a left-sided polyvinylchloride double-lumen tube. Acta Anaesthesiol Scand. 2003; 47: 622-625

  • Angie Ho C-Y, Chen C-Y, Yang M-W, Liu H-P. Use of the Arndt wire-guided endobronchial blocker via nasal for one-lung ventilation in patient with anticipated restricted mouth opening for esophagectomy. European journal of cardio-thoracic surgery. 2005;28(1):174-5.

  • Tarry D, Powell M. Hypoxic pulmonary vasoconstriction. BJA Education. 2017;17(6):208-13.

  • Módolo NSP, Módolo MP, Marton MA, et al. Intravenous versus inhalation anaesthesia for onelung ventilation. Cochrane Database Syst Rev 2013;(7):CD006313. [PMC free article] [PubMed] [Google Scholar]

  • Ahmet Üçvet SG. Cerrahi Yaklaşım. Akciğer Hidatik Kisti TÜSAD Eğitim Kitapları Serisi; 2016. p. 51-64.

  • Wu C, Liang X, Liu B. Selective pulmonary lobe isolation with Arndt pediatric endobronchial blocker for an infant: a case report. Medicine. 2019;98(50):e18262.

  • Simons FER, Ardusso LR, Dimov V, Ebisawa M, El-Gamal YM, Lockey RF, et al. World Allergy Organization Anaphylaxis Guidelines: 2013 update of the evidence base. International archives of allergy and immunology. 2013;162(3):193-204.

  • Mertes P, Malinowsky J, Jouffroy L, Aberer W, Terreehorst I, Brockow K, et al. 2 reducing the risk of anaphylaxis during anesthesia: 2011 updated guidelines for clinical practice. Journal of Investigational Allergology and Clinical Immunology. 2011;21(6):442.

  • Galvão VR, Giavina-Bianchi P, Castells M. Perioperative anaphylaxis. Current allergy and asthma reports. 2014;14:1-10.

  • Lieberman P, Nicklas RA, Oppenheimer J, Kemp SF, Lang DM, Bernstein DI, et al. The diagnosis and management of anaphylaxis practice parameter: 2010 update. Journal of Allergy and Clinical immunology. 2010;126(3):477-80. e42.

  • Caimmi S, Caimmi D, Bernardini R, Caffarelli C, Crisafulli G, Pingitore G, et al. Perioperative anaphylaxis: epidemiology. International journal of immunopathology and pharmacology. 2011;24(3_suppl):21-6.

  • Mertes PM, Tajima K, Regnier-Kimmoun MA, Lambert M, Iohom G, Gueant-Rodriguez RM, Malinovsky JM. Perioperative anaphylaxis. Med Clin North Am. 2010;94(4):761–89.[PMC free article] [PubMed] [Google Scholar]

  • Sampson HA, Muñoz-Furlong A, Campbell RL, Adkinson Jr NF, Bock SA, Branum A, et al. Second symposium on the definition and management of anaphylaxis: summary report—Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium. Journal of Allergy and Clinical Immunology. 2006;117(2):391-7.

  • Hasdıraz L, Onal O, Oguzkaya F. Bilateral staged thoracotomy for multiple lung hydatidosis. Journal of Cardiothoracic Surgery. 2013;8:1-6.

  • Kavukcu S, Kilic D, Tokat AO, Kutlay H, Cangir AK, Enon S, et al. Parenchyma-preserving surgery in the management of pulmonary hydatid cysts. Journal of Investigative Surgery. 2006;19(1):61-8.

  • Shields TW. General thoracic surgery: Lippincott Williams & Wilkins; 2005.

Share This Chapter!