Intraoperative Bronchospasm in a Peroral Endoscopic Myotomy Surgery: Not So Poetic!

Intraoperative Bronchospasm in a Peroral Endoscopic Myotomy Surgery: Not So Poetic!

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Peroral endoscopic Camping Stoves myotomies (POEM) done primarily for treating achalasia cardia patients not responding to medical therapy involve creating a submucosal tunnel, followed by a myotomy and a mucosal incision.Common intraoperative complications of such procedures include subcutaneous emphysema, pneumothorax, pneumomediastinum, pneumoperitoneum, and hemodynamic instability.This is a case of a 56-year-old 62 kg nil-comorbid female patient diagnosed with achalasia cardia who was taken up for a POEM under general anesthesia.

She developed an episode of bronchospasm postinsufflation of TV Package the abdomen with carbon dioxide.