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Abstract
POST-LOBECTOMY DIFFICULTY IN WEANING OFF THE VENTILATOR-IS IT EDAC?
Dr. Hemant Gopal Bhirud*, Dr. Amit Bodkhe, Dr. Chitra Pitale, Dr. Sanjay Upadhye
ABSTRACT
Excessive Dynamic Airway Collapse (EDAC) along with tracheobronchomalacia (TBM) constitutes Excessive Central Airway Collapse (ECAC) which presents with a myriad of respiratory symptoms.[1,2,3] In the post-operative period EDAC may be suspected in a patient difficult to wean off the ventilator, when other causes have been excluded.[4] Confirmation of diagnosis is by Fiber Optic Bronchoscopy (FOB) and dynamic CT scanning.[5,6,7] EDAC is an entity characterized by >50% reduction in the lumen of the trachea with anterior bowing of the posterior membranous wall of the trachea.[5] The symptomatology in a non-surgical patient may vary from asymptomatic to wheezing refractory to treatment, dyspnea, stridor and coughing.[8]
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