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Korean J Anesthesiol > Volume 51(6); 2006 > Article
Korean Journal of Anesthesiology 2006;51(6):756-759.
DOI: https://doi.org/10.4097/kjae.2006.51.6.756   
Cardiac Arrest Occurred by Tension Pneumothorax during Right Thoracotomy: A case report.
Seung Moon Ryu, Hyo Seok Na, Jin Ho Bae, Jong Myeon Hong, Seung Woon Lim
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.
Key Words: cardiac arrest; one-lung ventilation; tension pneumothorax


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