caa a22 4500 445373628 CHVBK 20180317142955.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00540-011-1132-5 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1132-5 Postoperative respiratory failure caused by acute exacerbation of idiopathic interstitial pneumonia [Elektronische Daten] [Takeshi Kubota, Akimasa Miyata] We herein report a case of postoperative respiratory failure caused by acute exacerbation of undiagnosed interstitial pneumonia (IP). A 76-year-old woman underwent two subsequent operations, cholecystectomy and resection of lipoma in the neck, under general anesthesia at an interval of 12days. Although the postoperative course of the first operation was uneventful, the patient abruptly developed respiratory failure on the 4th postoperative day (POD) of the second operation. Although steroid therapy was transiently effective to improve oxygenation, respiratory failure was gradually deteriorated. She died on the 25th POD. She had a past history of right upper lobectomy for pseudotumor resulting from cryptogenic organizing pneumonia in another hospital 4years ago. The follow-up CT performed in this hospital demonstrated subtle foci of ground-glass opacities in the left lung; however, no diagnosis of IP had been made. Thus, we concluded that idiopathic IP had gradually advanced preoperatively, and acute exacerbation was triggered by perioperative stress. The present case warned us that acute exacerbation of IP could occur in a patient with mild symptoms. Therefore, preoperative proper diagnosis is thought to be important as acute exacerbation of IP is a highly morbid clinical event. Japanese Society of Anesthesiologists, 2011 Respiratory failure nationallicence Idiopathic interstitial pneumonia nationallicence Acute exacerbation nationallicence Kubota Takeshi Department of Anesthesia, Hachinohe Heiwa Hospital, 4-6 Minatotakadai 2-Chome, 031-8545, Hachinohe, Japan aut Miyata Akimasa Department of Anesthesia, Hachinohe Heiwa Hospital, 4-6 Minatotakadai 2-Chome, 031-8545, Hachinohe, Japan aut Journal of Anesthesia Springer Japan 25/3(2011-06-01), 422-425 0913-8668 25:3<422 2011 25 540 https://doi.org/10.1007/s00540-011-1132-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1132-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kubota Takeshi Department of Anesthesia, Hachinohe Heiwa Hospital, 4-6 Minatotakadai 2-Chome, 031-8545, Hachinohe, Japan aut NATIONALLICENCE 700 1- Miyata Akimasa Department of Anesthesia, Hachinohe Heiwa Hospital, 4-6 Minatotakadai 2-Chome, 031-8545, Hachinohe, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/3(2011-06-01), 422-425 0913-8668 25:3<422 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer