Anesthetic management for endoscopic retrograde cholangiopancreatography in bronchobiliary fistula: a case report

  • Salman Shahzad Consultant Anesthesiologist, Pakistan Kidney and Liver Institute and Research Centre, Knowledge City, 1 PKLI Avenue, Lahore, Pakistan.
  • Tahira Younus Senior Registrar, Department of Anesthesiology, Pakistan Kidney and Liver Institute and Research Centre, Knowledge City, 1 PKLI Avenue, Lahore, Pakistan.
  • Eitzaz Ud Din Khan Consultant and Chairman, Department of Anesthesiology, Pakistan Kidney and Liver Institute and Research Centre, Knowledge City, 1 PKLI Avenue, Lahore, Pakistan.
DOI: https://doi.org/10.35975/apic.v25i3.1517
Keywords: Bronchobiliary fistula, Moderate Sedation, Bilioptysis, Anesthetic Management, Endoscopic retrograde cholangiopancreatography, Dexmedetomidine

Abstract

Bronchobiliary fistula (BBF) is a pathological communication between a bronchus and the biliary tract resulting from various etiologies. Anesthetic management of BBF is challenging because patients may have a repeated chest infection, pleural effusion and perihepatic abdominal collection. These factors affect the safe patient management during controlled mechanical ventilation. We present anesthetic management of a case of a 20-year-old patient requiring endoscopic retrograde cholangiopancreatography (ERCP) to drain the biliary obstruction.

Key words: Bronchobiliary fistula; Moderate Sedation; Bilioptysis; Anesthetic Management, Endoscopic retrograde cholangiopancreatography; Dexmedetomidine

Citation: Shahzad S, Younus T, Khan RU. Anesthetic management for endoscopic retrograde cholangiopancreatography in bronchobiliary fistula – a case report. Anaesth. pain intensive care 2021;25(3):399–401.  DOI: doi.org/10.35975/apic.v25i3.1517

Received: February 4, 2021; Reviewed: February 19, 2021; Accepted: February 19, 2021

Published
06-02-2021
How to Cite
Shahzad, S., Younus, T., & Khan, E. (2021). Anesthetic management for endoscopic retrograde cholangiopancreatography in bronchobiliary fistula: a case report. Anaesthesia, Pain & Intensive Care, 25(3), 399–401. https://doi.org/10.35975/apic.v25i3.1517
Issue
Vol 25 No 3 (2021): May-June
Section
Case Reports