BPF Post-Lobectomy — FRCA Final MCQ

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HardCardiothoracic AnaesthesiaBPF Post-LobectomyFRCA Final

Post-lobectomy: subcutaneous emphysema, persistent air leak, incomplete lung expansion on CXR. Diagnosis?

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Correct answer: D — Bronchopleural fistula

Persistent air leak + subcutaneous emphysema + incomplete expansion post-lobectomy = bronchopleural fistula. Communication between bronchial stump and pleural space. Maintain chest drainage on underwater seal, involve thoracic surgery urgently.

Reference: BTS – 2023 – Bronchopleural fistula management