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Severe hypoxemia during carinal resection in the lateral position under one-lung ventilation of a non-dependent lung: a case report

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Author(s)
Chang-Hoon KooYoo Sun JungYong-Hun LeeHyun-Chang KimJae-Hyon BahkJeong-Hwa Seo
Keimyung Author(s)
Kim, Hyun Chang
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Korean Journal of Anesthesiology
Issued Date
2016
Volume
69
Issue
3
Keyword
One lung ventilationPerfusionThoracic surgery
Abstract
During one-lung ventilation (OLV) in the lateral position, the dependent, ventilated lung receives more blood flow than
the non-dependent, non-ventilated lung owing to gravity, improving the match of ventilation and perfusion. Conversely,
in the rare clinical situations when OLV is applied to the non-dependent lung, arterial oxygenation can get worse due to
considerable shunt flow to the dependent non-ventilated lung. We report a case of severe hypoxemia during carinal resection
under OLV of a non-dependent lung. In this case, OLV had to be applied to the non-dependent lung in the lateral
position because the bronchus of the non-dependent lung was anastomosed with the trachea, whereas the bronchus of
the dependent lung had already been resected for carinal resection. The subsequent hypoxemia resulting from the shunt
flow to the dependent non-ventilated lung was treated successfully by ligating the pulmonary artery of the dependent
lung.
Keimyung Author(s)(Kor)
김현창
Publisher
School of Medicine
Citation
Chang-Hoon Koo et al. (2016). Severe hypoxemia during carinal resection in the lateral position under one-lung ventilation of a non-dependent lung: a case report. Korean Journal of Anesthesiology, 69(3), 279–282. doi: 10.4097/kjae.2016.69.3.279
Type
Article
ISSN
2005-6419
DOI
10.4097/kjae.2016.69.3.279
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33289
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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