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

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 con...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2013, 65(1), , pp.80-84
Main Authors: Seok, Ji-Hye, Kim, Eun-Ju, Ban, Jong-Seouk, Lee, Sang-Gon, Lee, Ji-Hyang, Seo, Da-Mi, Shim, Kwang-Seok
Format: Article
Language:English
Subjects:
Case Report
congenital cystic adenomatoid malformation
hypoxia
newborn
one lung ventilation
respiratory distress syndrome
마취과학
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Summary: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.
ISSN:2005-6419
2005-7563
DOI:10.4097/kjae.2013.65.1.80