Tension Pneumothorax following the Insertion of a Stainless Steel Bar in Patients undergoing the Pectus Excavatum Repair by the Nuss Procedure : A case report.
10.4097/kjae.2007.52.4.484
- Author:
Kyu Sik KANG
1
;
Nan Seol KIM
;
Ki Ryang AHN
;
Chun Sook KIM
;
Sie Hyun YOU
;
Jin Hun CHUNG
Author Information
1. Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital, College of Medicine, Soonchunhyang University, Cheonan, Korea. ksjsk@schch.co.kr
- Publication Type:Case Report
- Keywords:
Nuss method;
pectus excavatum;
tension pneumothorax
- MeSH:
Bradycardia;
Child;
Female;
Funnel Chest*;
Heart Injuries;
Hemothorax;
Humans;
Hypotension;
Oxygen;
Pneumothorax*;
Stainless Steel*;
Thoracostomy
- From:Korean Journal of Anesthesiology
2007;52(4):484-486
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Nuss procedure was recently introduced, because of its excellent effect from the cosmetic point of view and improvement of the pulmonary function, but the complications such as heart injury, bar displacement, hemothorax, pneumothorax and tension pneumothorax sometimes occur. We experienced a 12 year-old female, who showed profound hypotension with a bradycardia and severe reduction in oxygen saturation followed by the tension pneumothorax after the operation by the Nuss method. The patient was treated with the immediate thoracostomy and recovered without any other problem. In anesthetic management of the pectus excavatum repair by the Nuss method, we should always pay attention to the possible occurrence of tension pneumothorax.
