Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilation - A case report –
10.17085/apm.2020.15.1.78
- Author:
Soo Kyung LEE
1
;
Kwon Hui SEO
;
You Jung KIM
;
Eun Ji YOUN
;
Jun Suck LEE
;
Jieun PARK
;
Hyun Soo MOON
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea
- Publication Type:Case Report
- From:Anesthesia and Pain Medicine
2020;15(1):78-82
- CountryRepublic of Korea
-
Abstract:
Background:Tension pneumothorax on the contralateral lung during one-lung ventilation (OLV) can be life-threatening if not rapidly diagnosed and managed. However, diagnosis is often delayed because the classic signs of tension pneumothorax are similar to clinical manifestations commonly observed during OLV.Case: We report a case of contralateral tension pneumothorax in a patient undergoing right upper lobectomy during OLV. The patient suffered from sudden cardiac arrest and was assisted by extra-corporeal membrane oxygenation.
Conclusions:Contralateral pneumothorax during OLV is rare but can occur at any time. Therefore, anesthesiologists should consider this critical complication.