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Korean Journal of Anesthesiology 2005;49(1):119-123.
DOI: https://doi.org/10.4097/kjae.2005.49.1.119   
Tension Pneumothorax during One-Lung Ventilation in Patient with Bronchiectasis: A case report.
Jee Yeon Kim, Jong Hyuk Kim, Choon Hak Lim, Hye Won Lee, Hae Ja Lim, Suk Min Yoon, Seong Ho Chang
Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University, Seoul, Korea. hyewonmd@unitel.co.kr
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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