Korean J Anesthesiol.  2005 Aug;49(2):265-268. 10.4097/kjae.2005.49.2.265.

Obstruction of Dependent Bronchus by Necrotic Cancer Materials during Pneumonectomy: A case report

• Ryu SJ
• Sim MS

• KMID: 2092044
• DOI: http://doi.org/10.4097/kjae.2005.49.2.265

Abstract

Partial airway obstruction is common in anesthesia and has several causes, but total airway obstruction is rare and may result in severe complications if not corrected early. We experienced total airway obstruction of a dependent bronchus by cancer materials during pneumonectomy and removal of these materials with Fogarty and Foley catheters took considerable time. PaCO2 increased to more than 170 mmHg and pH decreased to less than 7 at 1 hour after obstruction. But, no metabolic derangement or neurologic sequelae were observed after the operation.

Keyword

airway obstruction; cancer embolus; pneumonectomy

MeSH Terms

Airway Obstruction
Anesthesia
Bronchi*
Catheters
Hydrogen-Ion Concentration
Pneumonectomy*