Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilation

Background Tension pneumothorax on the contralateral lung during one-lung ventilation (OLV) can be life-threatening if not rapidly diagnosed and managed. However, diagnosis is often delayed because the classic signs of tension pneumothorax are similar to clinical manifestations commonly observed dur...

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Main Authors: Soo Kyung Lee, Kwon Hui Seo, You Jung Kim, Eun Ji Youn, Jun Suck Lee, Jieun Park, Hyun Soo Moon
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2020-01-01
Series:Anesthesia and Pain Medicine
Subjects:
Online Access:http://www.anesth-pain-med.org/upload/pdf/APM-15-078.pdf
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author Soo Kyung Lee
Kwon Hui Seo
You Jung Kim
Eun Ji Youn
Jun Suck Lee
Jieun Park
Hyun Soo Moon
author_facet Soo Kyung Lee
Kwon Hui Seo
You Jung Kim
Eun Ji Youn
Jun Suck Lee
Jieun Park
Hyun Soo Moon
author_sort Soo Kyung Lee
collection DOAJ
description Background Tension pneumothorax on the contralateral lung during one-lung ventilation (OLV) can be life-threatening if not rapidly diagnosed and managed. However, diagnosis is often delayed because the classic signs of tension pneumothorax are similar to clinical manifestations commonly observed during OLV. Case We report a case of contralateral tension pneumothorax in a patient undergoing right upper lobectomy during OLV. The patient suffered from sudden cardiac arrest and was assisted by extra-corporeal membrane oxygenation. Conclusions Contralateral pneumothorax during OLV is rare but can occur at any time. Therefore, anesthesiologists should consider this critical complication.
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spelling doaj.art-a57ef66084f6484197473ab949cc98b22023-05-17T05:28:54ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772020-01-01151788210.17085/apm.2020.15.1.78984Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilationSoo Kyung Lee0Kwon Hui Seo1You Jung Kim2Eun Ji Youn3Jun Suck Lee4Jieun Park5Hyun Soo Moon6Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, KoreaDepartment of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, KoreaDepartment of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, KoreaDepartment of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, KoreaDepartment of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, KoreaDepartment of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, KoreaDepartment of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, KoreaBackground Tension pneumothorax on the contralateral lung during one-lung ventilation (OLV) can be life-threatening if not rapidly diagnosed and managed. However, diagnosis is often delayed because the classic signs of tension pneumothorax are similar to clinical manifestations commonly observed during OLV. Case We report a case of contralateral tension pneumothorax in a patient undergoing right upper lobectomy during OLV. The patient suffered from sudden cardiac arrest and was assisted by extra-corporeal membrane oxygenation. Conclusions Contralateral pneumothorax during OLV is rare but can occur at any time. Therefore, anesthesiologists should consider this critical complication.http://www.anesth-pain-med.org/upload/pdf/APM-15-078.pdfheart arrestone-lung ventilationpneumothoraxthoracic surgery
spellingShingle Soo Kyung Lee
Kwon Hui Seo
You Jung Kim
Eun Ji Youn
Jun Suck Lee
Jieun Park
Hyun Soo Moon
Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilation
Anesthesia and Pain Medicine
heart arrest
one-lung ventilation
pneumothorax
thoracic surgery
title Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilation
title_full Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilation
title_fullStr Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilation
title_full_unstemmed Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilation
title_short Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilation
title_sort cardiac arrest caused by contralateral tension pneumothorax during one lung ventilation
topic heart arrest
one-lung ventilation
pneumothorax
thoracic surgery
url http://www.anesth-pain-med.org/upload/pdf/APM-15-078.pdf
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