Cardiac arrest caused by contralateral tension pneumothorax during one-lung ventilation: - A case report. 2020

Soo Kyung Lee, and Kwon Hui Seo, and You Jung Kim, and Eun Ji Youn, and Jun Suck Lee, and Jieun Park, and Hyun Soo Moon
Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Korea.

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. METHODS 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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