Korean J Anesthesiol.  2006 Dec;51(6):756-759. 10.4097/kjae.2006.51.6.756.

Cardiac Arrest Occurred by Tension Pneumothorax during Right Thoracotomy: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea. swlim@chungbuk.ac.kr
  • 2Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea.

Abstract

Tension pneumothorax during one-lung ventilation is an insidious, life threatening emergency. Even though early diagnosis and rapid intervention are necessary to prevent mortality, treatment may be difficult because of the clinical diagnosis-mediastinal shift, hypoxemia, hypotension and increased airway pressure may be confusing in the operative setting. We present here the case of a patient who underwent right thoracotomy with one-lung ventilation and the patient developed left tension pneumothorax with resulting cardiac arrest.

Keyword

cardiac arrest; one-lung ventilation; tension pneumothorax

MeSH Terms

Anoxia
Early Diagnosis
Emergencies
Heart Arrest*
Humans
Hypotension
Mortality
One-Lung Ventilation
Pneumothorax*
Thoracotomy*
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