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

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 journal › Article › peer-review

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 language	English
Pages (from-to)	177-181
Number of pages	5
Journal	Acta Anaesthesiologica Taiwanica
Volume	43
Issue number	3
Publication status	Published - Sept 2005
Externally published	Yes

Keywords

Airway obstruction
Tracheostomy

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

Cite this

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

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.",

keywords = "Airway obstruction, Tracheostomy",

author = "Lin, {Ming Chung} and Hsu, {Chi Sing} and Chu, {Chin Chen} and Chen, {Ying Hui} and So, {Edmund C.} and Chung-Hsi Hsing",

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T1 - Life-threatening left lung collapse combined with mediastinal shift rescued by a chest tube insertion - A case report

AU - Lin, Ming Chung

AU - Hsu, Chi Sing

AU - Chu, Chin Chen

AU - Chen, Ying Hui

AU - So, Edmund C.

AU - Hsing, Chung-Hsi

PY - 2005/9

Y1 - 2005/9

N2 - 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.

AB - 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.

KW - Airway obstruction

KW - Tracheostomy

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AN - SCOPUS:26944437386

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JO - Acta Anaesthesiologica Taiwanica

JF - Acta Anaesthesiologica Taiwanica

IS - 3

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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