{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:50:31Z","timestamp":1785765031157,"version":"3.56.0"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A 52-year-old male with a ruptured right hydatid cyst underwent thoracotomy and cyst excision. After repair of diffuse parenchymal air leaks, application of negative pleural suction caused sudden ventilatory collapse with refractory hypotension, unresponsive to tube exchange or vasopressors. Lung-protective ventilation failed until clamping the drain immediately restored tidal volumes, confirming suction-mediated negative-pressure failure. Ultrasound showed good re-expansion without pneumothorax; subsequent pink frothy secretions suggested re-expansion\/negative-pressure pulmonary oedema. Switching to a water-seal drain, optimizing ventilation, and diuretics led to rapid recovery. Negative pleural suction can be hazardous after parenchymal leak repair.<\/jats:p>","DOI":"10.4103\/aca.aca_331_25","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T19:00:25Z","timestamp":1783969225000},"page":"438-441","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Intraoperative Ventilatory Collapse from Negative Pleural Suction in a Ruptured Pulmonary Hydatid Cyst"],"prefix":"10.4103","volume":"29","author":[{"given":"Sharek Abdul","family":"Nazir","sequence":"first","affiliation":[{"name":"Department of Anesthesia, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subrata Kumar","family":"Singha","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ananya","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"R1-20260803","first-page":"523","article-title":"Lung isolation techniques for patients with pre-existing respiratory pathology","volume":"124","author":"Campos","year":"2017","journal-title":"Anesth Analg"},{"key":"R2-20260803","first-page":"12","article-title":"Hydatid lung disease: an analysis of five years cumulative data from Kolkata","volume":"60","author":"Ghoshal","year":"2012","journal-title":"J Assoc Physicians India"},{"key":"R3-20260803","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.thorsurg.2010.04.001","article-title":"Chest tube management after pulmonary resection","volume":"20","author":"Cerfolio","year":"2010","journal-title":"Thorac Surg Clin"},{"key":"R4-20260803","doi-asserted-by":"crossref","first-page":"139","DOI":"10.48095\/ccrvch2025139","article-title":"Chest drainage - indications, technique, and management of complications","volume":"104","author":"Novysedl\u00e1k","year":"2025","journal-title":"Rozhl Chir"},{"key":"R5-20260803","doi-asserted-by":"crossref","first-page":"2211","DOI":"10.1378\/chest.127.6.2211","article-title":"A Hydrodynamic Study of Pleural Drainage Systems: Some Practical Consequences","volume":"127","author":"Manzanet","year":"2005","journal-title":"Chest"},{"key":"R6-20260803","first-page":"1201","article-title":"Surgical management of complicated pulmonary hydatid cysts","volume":"88","author":"Demirhan","year":"2009","journal-title":"Ann Thorac Surg"},{"key":"R7-20260803","first-page":"214","article-title":"Air leaks after pulmonary resection: pathophysiology and management","volume":"4","author":"Yendamuri","year":"2012","journal-title":"J Thorac Dis"},{"key":"R8-20260803","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/S0003-4975(10)62480-0","article-title":"Re-expansion pulmonary edema: a potential life-threatening complication","volume":"45","author":"Mahfood","year":"1988","journal-title":"Ann Thorac Surg"},{"key":"R9-20260803","first-page":"519","article-title":"Negative-pressure pulmonary edema","volume":"98","author":"Lang","year":"1990","journal-title":"Chest"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_331_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:09:22Z","timestamp":1785762562000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_331_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_331_25","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-11-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}