| Tension Pneumothorax during One-Lung Ventilation in Patient with Bronchiectasis: A case report. |
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Jee Yeon Kim, Jong Hyuk Kim, Choon Hak Lim, Hye Won Lee, Hae Ja Lim, Suk Min Yoon, Seong Ho Chang |
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Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University, Seoul, Korea. hyewonmd@unitel.co.kr |
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| Abstract |
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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. |
| Key Words:
bronchiectasis; complication; one-lung ventilation; tension peumothorax |
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