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Dynamic hyperinflation and cardiac arrest during one-lung ventilation: a case report
Katherine Marseu1, Peter Slinger, Marc de Perrot
1Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, 200 Elizabeth Street, Toronto, ON, M5G 2C4, Canada.
Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|January 25, 2011
Summary
Dynamic hyperinflation can cause sudden cardiac arrest during one-lung ventilation. Disconnecting the patient from mechanical ventilation is key to treatment and allows lungs to decompress.
Area of Science:
- Anesthesiology
- Critical Care Medicine
- Pulmonology
Background:
- Dynamic hyperinflation, characterized by progressive gas trapping, is a critical complication in severe airflow obstruction.
- It can lead to severe hemodynamic instability and potentially precipitate cardiac arrest.
- One-lung ventilation (OLV) can exacerbate dynamic hyperinflation, especially in patients with underlying lung disease.
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