Tension pneumothorax during one-lung ventilation: A case report

Weili Weng, Don J. DeCrosta, Hai Zhang

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


A 76-year-old woman underwent double-lumen endotracheal tube intubation for right upper lobectomy. During one-lung ventilation, she developed tension pneumothorax on her dependent lung and suffered cardiac arrest. The presenting signs of tension pneumothorax - hypoxemia, hypotension, and increased airway pressure - are relatively common during this procedure, leading to a delay in diagnosis and effective treatment. When all three signs occur together during one-lung ventilation, cardiovascular collapse can result and serious consideration must be given to the diagnosis of tension pneumothorax in the dependent lung.

Original languageEnglish (US)
Pages (from-to)529-531
Number of pages3
JournalJournal of Clinical Anesthesia
Issue number7
StatePublished - Nov 2002
Externally publishedYes


  • Intubation: intratracheal
  • Tension pneumothorax
  • Ventilation: one-lung

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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