Anesthetic Management of Acute Right Tension Pneumothorax in a Child With Left Main Bronchial Foreign Body: A Case Report

Key Points

• To demonstrate effective anesthetic management in a child experiencing tension pneumothorax due to foreign body aspiration.
• Case report of a child with complete unilateral main bronchial obstruction from foreign body aspiration.
• Positive pressure ventilation and lung ultrasound were utilized for assessment and rapid intervention.
• Immediate decompression was performed to address tension pneumothorax.
• Positive pressure ventilation caused barotrauma leading to tension pneumothorax.
• Prompt lung ultrasound indicated the need for immediate decompression.
• Successful anesthetic management restored hemodynamics and oxygenation.