Tension pneumothorax during tracheoesophageal fistula repair: A case report
Anesthesia and Pain Medicine
;
: 134-137, 2015.
Article
in English
| WPRIM
| ID: wpr-93963
ABSTRACT
Tension pneumothorax (PTx) was diagnosed in a preterm baby during surgery for tracheoesophageal fistula (TEF). The PTx occurred around 90 minutes after skin incision, while the baby was breathing spontaneously with intermittent positive pressure ventilation (PPV) at low pressure. A sudden decrease in oxygen saturation (SpO2), hemodynamic compromise, and decreased breath sounds on the right side suggested a right-sided tension PTx. After prompt radiological confirmation, needle aspiration of air through the surgical site restored the patient's condition immediately. Although the sudden unexpected hypoxemia and circulatory problems may confuse anesthesiologists, prompt diagnosis and proper treatment are required for successful clinical outcomes in tension PTx.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Pneumothorax
/
Respiration
/
Skin
/
Intermittent Positive-Pressure Ventilation
/
Tracheoesophageal Fistula
/
Diagnosis
/
Hemodynamics
/
Hypoxia
/
Needles
Type of study:
Diagnostic study
Language:
English
Journal:
Anesthesia and Pain Medicine
Year:
2015
Type:
Article
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