Tension pneumothorax during one-lung ventilation: a case report.
A 76-year-old woman underwent double-lumen endotracheal tube intubation for right upper lobectomy. During one-lung ventilation, she developed tension pneumothorax on her dependent lung and suffered cardiac arrest. The presenting signs of tension pneumothorax--hypoxemia, hypotension, and increased airway pressure--are relatively common during this procedure, leading to a delay in diagnosis and effective treatment. When all three signs occur together during one-lung ventilation, cardiovascular collapse can result and serious consideration must be given to the diagnosis of tension pneumothorax in the dependent lung.
Weng
Weili
W
Department of Anesthesiology, Winthrop University Hospital, Mineola, NY, USA. wweng@jhmi.edu
DeCrosta
Don J
DJ
Zhang
Hai
H
D000368:Aged; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008168:Lung / Q000503:physiopathology*; D011030:Pneumothorax / Q000175:diagnosis* / Q000209:etiology*; D012121:Respiration, Artificial / Q000009:adverse effects*