Difficult mechanical ventilation and hemodynamic caused by a main bronchial tumor : A case report.
- Author:
Hoon JUNG
1
;
Sung Sik PARK
Author Information
1. Department of Anesthesiology and Pain Medicine, Kyungpook National University School of Medicine, Daegu, Korea. sspark@knu.ac.kr
- Publication Type:Case Report
- Keywords:
airway obstruction;
check-valve mechanism;
lung cancer
- MeSH:
Airway Obstruction;
Bronchi;
Hemodynamics;
Humans;
Intubation;
Lung;
Lung Neoplasms;
Operating Rooms;
Pulmonary Atelectasis;
Respiration, Artificial;
Respiratory Sounds;
Spine;
Thorax;
Vital Signs
- From:Anesthesia and Pain Medicine
2009;4(1):32-35
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Unidirectional obstruction of a bronchus from any cause results in hyperinflation or atelectasis of the distal area. We experienced a patient that showed expiratory airway obstruction and this was caused by check-valve mechanism of bronchial tumor during anesthetic induction for spine surgery. A 60-year-old-man, who had left hilar lung cancer, entered the operating room to undergo spine surgery for metastatic tumor. Immediately after intubation, the patient's breathing sounds were not heard at the left lung field, and the patient displayed severe hemodynamic instability. The chest X-ray showed hyperinflation of the left lung with mediastinal shifting to the right side. With spontaneous recovery of the patient's self-ventilation, the vital signs returned to normal. Three days later, the operation was performed successfully under spinal anesthesia.
