Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilation: - A case report

Tension pneumothorax on the contralateral lung during one-lung ventilation (OLV) can be life-threatening if not rapidly diagnosed and managed. However, diagnosis is often delayed because the classic signs of tension pneumothorax are similar to clinical manifestations commonly observed during OLV. We...

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Bibliographic Details
Published in:Anesthesia and pain medicine 2020, 15(1), , pp.78-82
Main Authors: Lee, Soo Kyung, Seo, Kwon Hui, Kim, You Jung, Youn, Eun Ji, Lee, Jun Suck, Park, Jieun, Moon, Hyun Soo
Format: Article
Language:English
Subjects:
Cardiothoracic and Vascular Anesthesia
마취과학
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Summary:Tension pneumothorax on the contralateral lung during one-lung ventilation (OLV) can be life-threatening if not rapidly diagnosed and managed. However, diagnosis is often delayed because the classic signs of tension pneumothorax are similar to clinical manifestations commonly observed during OLV. We report a case of contralateral tension pneumothorax in a patient undergoing right upper lobectomy during OLV. The patient suffered from sudden cardiac arrest and was assisted by extra-corporeal membrane oxygenation. Contralateral pneumothorax during OLV is rare but can occur at any time. Therefore, anesthesiologists should consider this critical complication.
ISSN:1975-5171
2383-7977
DOI:10.17085/apm.2020.15.1.78