Korean J Anesthesiol.  2013 Jul;65(1):80-84. 10.4097/kjae.2013.65.1.80.

Severe desaturation while attempting one-lung ventilation for congenital cystic adenomatoid malformation with respiratory distress syndrome in neonate: A case report

• Seok JH
• Kim EJ
• Ban JS
• Lee SG
• Lee JH
• Seo DM
• Shim KS

• KMID: 1828074
• DOI: http://doi.org/10.4097/kjae.2013.65.1.80

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.

Keyword

Congenital cystic adenomatoid malformation; Hypoxia; Newborn; One lung ventilation; Respiratory distress syndrome

MeSH Terms

Anoxia
Cystic Adenomatoid Malformation of Lung, Congenital
Humans
Infant, Newborn
Intubation
One-Lung Ventilation
Oxygen
Thoracic Surgery
Oxygen