Korean J Anesthesiol.  2005 Jul;49(1):119-123. 10.4097/kjae.2005.49.1.119.

Tension Pneumothorax during One-Lung Ventilation in Patient with Bronchiectasis: A case report

• Kim JY
• Kim JH
• Lim CH
• Lee HW
• Lim HJ
• Yoon SM
• Chang SH

• KMID: 1936953
• DOI: http://doi.org/10.4097/kjae.2005.49.1.119

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.

Keyword

bronchiectasis; complication; one-lung ventilation; tension peumothorax

MeSH Terms

Bronchi
Bronchiectasis*
Diagnosis
Female
Humans
Hypotension
Intubation
Lung
Middle Aged
One-Lung Ventilation*
Oxygen
Pneumothorax*
Thorax
Tidal Volume
Ventilation
Oxygen