Unanticipated hemothorax during general anesthesia

Authors: Suzuki, Manzo1; Inagi, Toshiichiro1; Kurihara, Yuji2; Shimada, Yoichi1

Source: Journal of Anesthesia, Volume 18, Number 4, November 2004 , pp. 307-309(3)

Publisher: Springer

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Abstract:

We experienced a case of uncommon spontaneous hemothorax during general anesthesia. A 72-year-old woman underwent emergency repair of damaged ascending colon. Her chest roentgenogram before surgery revealed no abnormalities. After the uneventful surgery, the trachea was extubated and the patient breathed without difficulty with stable vital signs. However, the Sp O 2 varied around 95% with a 100% oxygen mask. Chest roentgenogram obtained after extubation showed a massive amount of fluid in the pleural cavity. A chest drainage tube was inserted, and approximately 1000 ml of frank blood was drawn without air leakage. Thereafter, her oxygenation remarkably improved. We could not determine the etiology of the hemothorax.

Keywords: Desaturation; Intrapleural problem; Hemothorax

Document Type: Research article

DOI: 10.1007/s00540-004-0260-6

Affiliations: 1: Department of Anesthesiology, Second Hospital Nippon Medical School, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, 211-8533, Japan, 2: Center of Digestive Disease, Second Hospital Nippon Medical School, Kawasaki, Japan,

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