Life-threatening left lung collapse combined with mediastinal shift rescued by a chest tube insertion - A case report

Ming Chung Lin, Chi Sing Hsu, Chin Chen Chu, Ying Hui Chen, Edmund C. So, Chung-Hsi Hsing

Research output: Contribution to journalArticle

Abstract

Pulmonary atelectasis due to acute endobronchial blood clot impaction is not uncommon in the setting of substantial hemoptysis. Sometimes, life-threatening hypoxemia and hemodynamic changes may occur even with collapse of only one lung. Alterations of pulmonary blood flow distribution with increased pulmonary shunt could contribute to these events. In addition, abnormal negative pleural pressure caused by total lung collapse also plays an important role in these situations. Here we report a case with near-fatal left lung collapse was rescued by immediate chest tube insertion. We would like to discuss the relative pathophysiology of the condition and anesthetic management of patient in such a dangerous situation.

Original languageEnglish
Pages (from-to)177-181
Number of pages5
JournalActa Anaesthesiologica Taiwanica
Volume43
Issue number3
Publication statusPublished - Sep 2005
Externally publishedYes

Keywords

  • Airway obstruction
  • Tracheostomy

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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  • Cite this

    Lin, M. C., Hsu, C. S., Chu, C. C., Chen, Y. H., So, E. C., & Hsing, C-H. (2005). Life-threatening left lung collapse combined with mediastinal shift rescued by a chest tube insertion - A case report. Acta Anaesthesiologica Taiwanica, 43(3), 177-181.