Video-assisted thoracoscopic surgery has become a common procedure in pediatric surgery. We present a case of accidental intraoperative bronchopleural fistula during a video-assisted thoracoscopic surgery procedure, which was first identified by the anesthesia team. We discuss differential diagnoses including the role of end-tidal carbon dioxide monitoring as an aid to prompt diagnosis.
From the Department of Anesthesiology, Section of Pediatric Anesthesiology, University of Michigan Health System, Ann Arbor, Michigan.
Accepted for publication April 2, 2013.
The authors declare no conflicts of interest.
Reprints will not be available from the author.
Address correspondence to Olubukola O. Nafiu, MD, FRCA, Department of Anesthesiology, Section of Pediatric Anesthesiology, University of Michigan Health System, 1500 East Medical Centre Dr., Room UH 1H247, Ann Arbor, Michigan 48109-0048. Address e-mail to firstname.lastname@example.org.