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

研究成果: 雜誌貢獻文章同行評審

摘要

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.

原文英語
頁(從 - 到)177-181
頁數5
期刊Acta Anaesthesiologica Taiwanica
43
發行號3
出版狀態已發佈 - 九月 2005
對外發佈Yes

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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