Contralateral tension pneumothorax during one-lung ventilation for lobectomy: diagnosis aided by fiberoptic bronchoscopy.

IMPLICATIONS Tension pneumothorax during one-lung ventilation can be a life threatening emergency. Clinical diagnosis may be confusing in the operative setting. We present a case in which fiberoptic bronchoscopy excluded tube malpositioning and lead us to the diagnosis of a tension pneumothorax.

[1]  C. Meistelman,et al.  Life-threatening pneumothorax of the ventilated lung during thoracoscopic pleurectomy , 2001, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[2]  E. Garcia-Pachon Tracheobronchomalacia: a cause of flow oscillations on the flow-volume loop. , 2000, Chest.

[3]  K. Steinberg,et al.  Cardiovascular instability caused by inadvertent positive end-expiratory pressure in a patient with panlobular emphysema receiving mechanical ventilation: radiographic-physiologic correlation. , 2000, AJR. American journal of roentgenology.

[4]  M. Deignan,et al.  Cardiovascular collapse associated with extreme iatrogenic PEEPi in patients with obstructive airways disease. , 1999, British journal of anaesthesia.

[5]  J. Brodsky,et al.  Airway rupture from double-lumen tubes. , 1999, Journal of cardiothoracic and vascular anesthesia.

[6]  R. Tio,et al.  Tension pneumothorax, pneumomediastinum, pneumoperitoneum, and subcutaneous emphysema in a 15-year-old Chinese girl after a double-lumen tube intubation and one-lung ventilation. , 1999, Journal of cardiothoracic and vascular anesthesia.

[7]  M. Zaugg,et al.  Accidental pleural puncture by a thoracic epidural catheter , 1998, Anaesthesia.

[8]  E. Engelman,et al.  Airway Pressure Changes During One-Lung Ventilation , 1997, Anesthesia and analgesia.

[9]  J. Yernault,et al.  Intrinsic positive end-expiratory pressure during one-lung ventilation for thoracic surgery. The influence of preoperative pulmonary function. , 1996, Chest.

[10]  A. Chan,et al.  Bronchoscopic findings of a tension pneumothorax. , 1995, Anesthesia and analgesia.

[11]  P. Rocmans,et al.  On-line expiratory flow-volume curves during thoracic surgery: occurrence of auto-PEEP. , 1994, British journal of anaesthesia.

[12]  G. M. Williams,et al.  Aneurysmal compression of the trachea and right mainstem bronchus complicating thoracoabdominal aneurysm repair. , 1993, Anesthesiology.

[13]  J. Nunn Nunn's Applied Respiratory Physiology , 1993 .

[14]  J. Nunn Chapter 4 – Non-elastic resistance to gas flow , 1993 .

[15]  C. Aps,et al.  Tension pneumothorax and pulse oximetry. , 1991, British journal of anaesthesia.

[16]  J. A. Carter,et al.  Contralateral tension pneumothorax during thoracotomy for lung resection , 1990, Anaesthesia.

[17]  M. Abel,et al.  Mediastinal mass and tracheal obstruction during general anesthesia. , 1988, Mayo Clinic proceedings.

[18]  T. Dosios Bronchoscopic findings in traumatic rupture of the thoracic aorta. , 1988, The Journal of thoracic and cardiovascular surgery.

[19]  T. Palva,et al.  Acquired tracheobronchomalacia. , 1977, Annals of clinical research.