Tension Pneumothorax during One-Lung Ventilation in Patient with Bronchiectasis: A case report.
10.4097/kjae.2005.49.1.119
- Author:
Jee Yeon KIM
1
;
Jong Hyuk KIM
;
Choon Hak LIM
;
Hye Won LEE
;
Hae Ja LIM
;
Suk Min YOON
;
Seong Ho CHANG
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University, Seoul, Korea. hyewonmd@unitel.co.kr
- Publication Type:Case Report
- Keywords:
bronchiectasis;
complication;
one-lung ventilation;
tension peumothorax
- MeSH:
Bronchi;
Bronchiectasis*;
Diagnosis;
Female;
Humans;
Hypotension;
Intubation;
Lung;
Middle Aged;
One-Lung Ventilation*;
Oxygen;
Pneumothorax*;
Thorax;
Tidal Volume;
Ventilation
- From:Korean Journal of Anesthesiology
2005;49(1):119-123
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
One-lung ventilation is very rarely associated with tension pneumothorax which can progress rapidly to become a life threatening situation when it develop in the ventilated dependent lung during one-lung ventilation. A 59-year-old female patient with bronchiectasis underwent double-lumen endotracheal tube intubation for left lower lobectomy. Our patient's presenting signs were decreased tidal volume, increased airway pressure, decreased oxygen saturation and bronchoscopic finding of collapsed bronchus during one-lung ventilation. In our case, hypotension was transiently noticed but recovered without any treatment. Resumption of two-lung ventilation did not relieved these signs. A diagnosis of tension pneumothorax in the ventilated dependent lung was confirmed by chest X-ray.
