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Considerations of single-lung ventilation in neonatal thoracoscopic surgery with cardiac arrest caused by bilateral pneumothorax:A case report

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World Journal of Clinical Cases 2022年第21期10卷 7592-7598页

作者： Xu Zhang Hai-Cheng Song Kui-Liang Wang Yue-Yi Ren Department of Heart Center Women's and Children's Hospital Affiliated to Qingdao UniversityQingdao 266034Shandong ProvinceChina

BACKGROUND Tension pneumothorax of the contralateral lung during single-lung ventilation(SLV)combined with artificial pneumothorax can cause cardiac arrest due to bilateral *** not rapidly diagnosed and managed,this condition can lead to sudden *** describe the emergency handling procedures and rapid diagnostic methods for this critical emergency *** SUMMARY We report a case of bilateral pneumothorax in a neonatal patient who underwent thoracoscopic esophageal atresia and tracheoesophageal fistula repair under the combined application of SLV and artificial *** patient suffered sudden cardiac arrest and received emergency treatment to revive *** recognition of dangerous vital sign parameters,rapid evacuation of the artificial pneumothorax,and initiation of lateral position cardiopulmonary resuscitation while simultaneously removing the endotracheal tube to the main airway are critically ***,even though the sinus rhythm was restored,the patient’s continued tachycardia,reduced pulse pressure,and depressed pulse oximeter waveform were *** should highly suspect the possibility of pneumothorax and use rapid diagnostic methods to make judgment *** thoracoscopy can be used for rapid examination;if the mediastinum is observed to be shifted to the right,it may indicate tension *** condition can be immediately relieved by needle thoracentesis,ultimately allowing the safe completion of the surgical *** Bilateral pneumothorax during SLV combined with artificial pneumothorax is rare but can occur at any time in neonatal thoracoscopic ***,anesthesiologists should consider this possibility,be alert,and address this rare but critical complication in a timely manner.

关键词： Neonatal thoracoscopic surgery Bilateral pneumothorax single-lung ventilation Cardiac arrest Case report

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Driving pressure:A useful tool for reducing postoperative pulmonary complications

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World Journal of Critical Care Medicine 2024年第3期13卷 91-94页

作者： Domenico Posa Fabio Sbaraglia Giuliano Ferrone Marco Rossi Department of Emergency Intensive Care Medicine and AnaesthesiaFondazione Policlinico Universitario A.Gemelli IRCCSRome 00168LazioItaly

The operating room is a unique environment where surgery exposes patients to non-physiological changes that can compromise lung ***,raising clinicians’awareness of the potential risk of ventilator-induced lung injury(VILI)is *** pressure is a useful tool for reducing lung complications in patients with acute respiratory distress syndrome and those undergoing elective *** pressure has been most extensively studied in the context of single-lung ventilation during thoracic ***,the awareness of association of VILI risk and patient positioning(prone,beach-chair,parkbench)and type of surgery must be raised.

关键词： Ventilator-induced lung injury Protective ventilation Driving pressure Mechanical ventilation Surgery room single-lung ventilation Operative room Surgery

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