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Unusual cause of intraoperative high airway pressures due to chest wall compression by the breast positioner (Allen table)

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We herewith report about a 10-year-old girl weighing 25 kg, who presented with severe kyphosis deformity of D4–D11 vertebrae due to previous tubercular infection [Figure 1a]. She was posted for… Click to show full abstract

We herewith report about a 10-year-old girl weighing 25 kg, who presented with severe kyphosis deformity of D4–D11 vertebrae due to previous tubercular infection [Figure 1a]. She was posted for multiple vertebral fusion under general anaesthesia in prone position. This child also had pectus carinatum [Figure 1b]. Pulmonary function test revealed severe restrictive abnormality with FEV1 of 25%, FVC of 28% and FEV1/FVC of 93% of the predicted value. Transthoracic echocardiography was normal and baseline SpO2 was 96% on room air. Other investigations were within normal limits.

Keywords: pressures due; high airway; airway pressures; cause intraoperative; intraoperative high; unusual cause

Journal Title: Indian Journal of Anaesthesia
Year Published: 2019

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