Keimyung Med J.  2015 Jun;34(1):84-87. 10.0000/kmj.2015.34.1.84.

Sudden Hypotension Following Electrocauterization during Pneumonectomy under General Anesthesia

• Choi HJ
• Jung SM
• Park SJ

• KMID: 2093096
• DOI: http://doi.org/10.0000/kmj.2015.34.1.84

Abstract

A 67-year-old man who was diagnosed lung cancer underwent open thoracotomy for left pneumonectomy. For bleeding control, cauterization of hilar site provoked severe hypotension. There were no reasons falling blood pressure such as condition of massive bleeding, excessively deep anesthesia, anaphylaxis or arrhythmia, etc. After interruption of the manipulation, the normal blood pressure returned spontaneously. With the suspicion that the touch of the hilar tissue have induced the hypotension, we used an electrical current carefully; however, the repeat hypotension occurred again and recoverd soon. We conclude that the electrocautery procedures near the hilum may induce the profound hypotension.

Keyword

General anesthesia; Hilum; Hypotension; Pneumonectomy; Reflex

MeSH Terms

Aged
Anaphylaxis
Anesthesia
Anesthesia, General*
Arrhythmias, Cardiac
Blood Pressure
Cautery
Electrocoagulation
Hemorrhage
Humans
Hypotension*
Lung Neoplasms
Pneumonectomy*
Reflex
Thoracotomy