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KMID : 1147920210040010048
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Medical Biological Science and Engineering
2021 Volume.4 No. 1 p.48 ~ p.53
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Tension pneumothorax and pulmonary embolism during neurosurgery: a case report
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Kim Doo-Sik
Lee Ho-Chul
Ryu Sung-Won
Kim Ju-Deok
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Abstract
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A tension pneumothorax arising during surgery is a rare occurrence, however it is a medical emergency that requires immediate decompression. Early diagnosis of a pneumothorax in patients with hypoxemia during general anesthesia, especially when accompanied by a pulmonary embolism during surgery, is not straightforward as it differs from the clinical symptoms seen in patients who have spontaneous ventilation. However, if it develops into a tension pneumothorax, serious hemodynamic side effects may occur. Therefore, the anesthesiologist needs a sufficient understanding of differential diagnosis methods, such as lung sound auscultation and C-arm fluoroscopy. These can be easily utilized in the operating room, and rapid treatment can be performed through consultation with thoracic surgeons.
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KEYWORD
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Pulmonary embolism, Tension pneumothorax, Thoracostomy
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