Severe desaturation while attempting one-lung ventilation for congenital cystic adenomatoid malformation with respiratory distress syndrome in neonate: A case report.
10.4097/kjae.2013.65.1.80
- Author:
Ji Hye SEOK
1
;
Eun Ju KIM
;
Jong Seouk BAN
;
Sang Gon LEE
;
Ji Hyang LEE
;
Da Mi SEO
;
Kwang Seok SHIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea. kej1127@fatima.or.kr
- Publication Type:Case Report
- Keywords:
Congenital cystic adenomatoid malformation;
Hypoxia;
Newborn;
One lung ventilation;
Respiratory distress syndrome
- MeSH:
Anoxia;
Cystic Adenomatoid Malformation of Lung, Congenital;
Humans;
Infant, Newborn;
Intubation;
One-Lung Ventilation;
Oxygen;
Thoracic Surgery
- From:Korean Journal of Anesthesiology
2013;65(1):80-84
- CountryRepublic of Korea
- Language:English
-
Abstract:
There are many methods for achieving one-lung ventilation (OLV) during thoracic surgery in neonates and the accuracy of OLV may affect postoperative outcome. The authors have performed OLV using a 5 Fr Arndt endobronchial blocker (AEB, Cook Inc., Bloomington, IN, USA) on a neonate diagnosed with congenital cystic adenomatoid malformation and respiratory distress syndrome (RDS) associated with marked mediastinal shift. In spite of sufficient preoxygenation, sudden and severe fall in oxygen saturation had occurred. Since neonates with RDS may develop sudden and severe desaturation, rapid intubation with anticipation of potential difficulty is necessary as well as sufficient preoxygenation.
