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Table 2 Details of events related to the patients’ pathogenic conditions

From: A retrospective analysis of 62,571 cases of perioperative adverse events in thoracic surgery at a tertiary care teaching hospital in a developing country

Operation

Clinical manifestation

Causes

Treatment

Right lower lobectomy

Left bronchus bleeding after endotracheal intubation with a F32 double lumen tube

Upper left lobe bronchiectasis

Fibreoptic bronchoscopy, operation postponed until 12 days later

Video-assisted mediastinoscopic lymphnode biopsy

Arrhythmia (frequent premature ventricular with different QRS wave directions and tachycardia-bradycardia syndrome)

Hypoglycaemia 2.3 mmol/L

Arrhythmia relieved after the infusion of glucose

Right lower lobectomy

Limb twitching and spasms, atrial ectopic beat, and hyperpnoea and hypertension after ondansetron injection

Rare adverse drug reaction

Oxygen inhalation, midazolam 2 mg, amiodarone 150 mg

Pneumonectomy of right lung cancer

Hypotension and tachycardia after the administration of hydroxyethyl starch

Hydroxyethyl starch allergy

Stopped hydroxyethyl starch infusion, dilation with crystal solution, low-dose epinephrine

Pneumonectomy of destroyed right lung

Hypotension, chemosis and high airway pressure after blood transfusion

Transfusion reaction

Stopped blood transfusion and added infusion of low-dose epinephrine