A 45-year-old female inpatient at your tertiary hospital was admitted with increasing shortness of breath. Her imaging and investigations confirmed a right sided empyema. Her surgeon indicated that it is complex and not amenable to percutaneous drainage so has booked her on your list for a right thoracotomy and decortication.
Past medical history:
- systemic sclerosis (scleroderma)
- interstitial lung disease (pulmonary fibrosis)
- Raynaud's phenomenon
- gastroesophageal reflux
Current medications:
- omeprazole 40mg mane
- mycophenolate 1g bd
- amlodipine 10mg mane
- ceftriaxone 1g intravenously bd
- metronidazole 500mg intravenously bd
Sections covered in this viva
Thorough assessment and surgical planningManagement of one-lung anaesthesia with bronchial blockerManagement of dislodged bronchial blocker with pulmonary haemorrhage