Management of traumatic pneumothorax with massive air leakage: role of a bronchial blocker: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 354-357, 2014.
Article
en En
| WPRIM
| ID: wpr-41280
Biblioteca responsable:
WPRO
ABSTRACT
Massive air leakage through a lacerated lung produces inadequate ventilation and hypoxemia. Tube exchange from a single to double lumen endotracheal tube (DLT), and lung separation to maintain oxygenation, are challenging for seriously injured patients. In this case report, we aim to describe how a bronchial blocker (BB) makes it easier to perform a lung separation in this situation; it also increases the overall safety of the procedure. A 35-year-old female (163 cm, 47 kg) suffered from blunt chest trauma due to a traffic accident; the accident caused right-sided lung laceration with massive air leakage. Paradoxically, positive ventilation worsened SaO2 and leakage increased through a chest tube. We introduced BB while the patient was still awake: Left-side one-lung ventilation (OLV) was established and anesthesia was induced. After PaO2 was maximized with OLV, we changed the endotracheal tube to DLT without a hypoxic event. By BB placement, we maintained PaO2 at a secure level, conducted mechanical ventilation and exchanged the tube without deterioration.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Oxígeno
/
Neumotórax
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Respiración Artificial
/
Tórax
/
Ventilación
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Accidentes de Tránsito
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Tubos Torácicos
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Laceraciones
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Ventilación Unipulmonar
/
Anestesia
Límite:
Adult
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Female
/
Humans
Idioma:
En
Revista:
Korean Journal of Anesthesiology
Año:
2014
Tipo del documento:
Article