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Anesth Analg 2008; 106:58-60
© 2008 International Anesthesia Research Society
doi: 10.1213/01.ane.0000287685.02860.47
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CARDIOVASCULAR ANESTHESIOLOGY

Intraoperative Contralateral Tension Pneumothorax During Pneumonectomy

Gordon N. Finlayson, MD*, Albert B. Chiang, MD*, Jay B. Brodsky, MD*, and Walter B. Cannon, MD{dagger}

From the Departments of *Anesthesia and {dagger}Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California.

Address correspondence and reprint requests to Dr. Jay Brodsky, Department of Anesthesia, H-3580, Stanford University Medical Center, Stanford, CA 94305. Address e-mail to Jbrodsky{at}stanford.edu.

Abstract

Unrecognized tension pneumothorax can have catastrophic consequences. We report a case of a patient who developed a contralateral tension pneumothorax during thoracotomy without the classic signs of marked hypoxemia and hemodynamic instability. A tension pneumothorax should be considered in any patient who develops high peak inspiratory pressures during one-lung ventilation with an open chest, even in the absence of the classic signs of hypoxemia and hypotension.




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J. Lohser
Tension Pneumothorax During One-Lung Ventilation
Anesth. Analg., May 1, 2008; 106(5): 1590 - 1590.
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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2008 by the International Anesthesia Research Society.