Combination of intravenous dexmedetomidine with topicalization of airway for placement of double lumen tube in a spontaneously breathing patient of giant lung bullae

Peer review under responsibility of Egyptian Society of Anesthesiologists.

Figures & data

Figure 1 HRCT thorax showing panlobular emphysema in both lungs (Fig.1A) with a giant lung bulla in left lower lobe (Fig.1B).

Table 1 Preoperative arterial blood gas analysis.

	On room air	With oxygen via prongs @ 2 l/min
pH	7.439	7.466
pO2	79.8	215
pCO2	36.7	34.5
SO2	96.4%	99.4
cHCO3	24.4	24.5
cBase	0.7	1.1

Table 2 Pulmonary function TEST.

	Predicted	Pre-bronchodilator	% of predicted	Post bronchodilator
FVC	4.64	2.18	46.98%	2.22
FEV1	3.59	0.84	23.39%	0.86
FEV1/FVC	77.47	38.52	49.72%	38.89
TLC	7.03	4.04	57.46%	–
PEFR	8.28	3.79	45.7	3.86