Postoperative atelectasis after one-lung ventilation with the Univent tube in a child.
This case describes a postoperative complication after single-lung ventilation in a 10-year-old patient scheduled for scoliosis repair. This patient underwent an anterior thoracoscopic excision of several vertebral discs followed by a posterior double-rod fixation of her spine. The postoperative course was complicated by complete atelectasis of the patient's right lung for 5 days. Methods of single-lung ventilation, advantages and disadvantages of the Univent tube versus the double-lumen tube, and the possible mechanisms leading to postoperative atelectasis in this child are discussed.
Frölich
Michael A
MA
Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL 32610, USA.
Janelle
Gregory M
GM
D002648:Child; D005260:Female; D006801:Humans; D011175:Positive-Pressure Respiration; D011183:Postoperative Complications; D001261:Pulmonary Atelectasis / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D012121:Respiration, Artificial / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D012600:Scoliosis / Q000601:surgery*; D013906:Thoracoscopy