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Anesth Pain Med > Volume 10(2); 2015 > Article
Pediatric Anesthesia
Anesthesia and Pain Medicine 2015;10(2):134-137.
DOI: https://doi.org/10.17085/apm.2015.10.2.134    Published online April 30, 2015.
Tension pneumothorax during tracheoesophageal fistula repair: A case report
Sangyoung Park, Haemi Lee
Department of Anesthesiology and Pain Medicine, Yeungnam University School of Medicine, Daegu, Korea. hmlee@yu.ac.kr
Received: 19 February 2014   • Revised: 12 June 2014   • Accepted: 2 October 2014
Abstract
Tension pneumothorax (PTx) was diagnosed in a preterm baby during surgery for tracheoesophageal fistula (TEF). The PTx occurred around 90 minutes after skin incision, while the baby was breathing spontaneously with intermittent positive pressure ventilation (PPV) at low pressure. A sudden decrease in oxygen saturation (SpO2), hemodynamic compromise, and decreased breath sounds on the right side suggested a right-sided tension PTx. After prompt radiological confirmation, needle aspiration of air through the surgical site restored the patient's condition immediately. Although the sudden unexpected hypoxemia and circulatory problems may confuse anesthesiologists, prompt diagnosis and proper treatment are required for successful clinical outcomes in tension PTx.
Key Words: Desaturation, Pneumothorax, Prematurity


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