{'fraction_non_alphanumeric': 0.02009456264775414, 'fraction_numerical': 0.008274231678486997, 'mean_word_length': 5.227941176470588, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Tension pneumothorax and pneumoperitoneum after double-lumen endotracheal intubation

A 75-year-old woman with a history of hypertension was admitted to our hospital for video-assisted thoracic surgery of the right caudal lung lobe because of a pT4N0M0 adenocarcinoma. After uneventful induction of anaesthesia, a difficult intubation was encountered due to a short stature and limited mobility of the neck. After multiple attempts a 35 French double-lumen tube was placed over a gum-elastic bougie with help of a video laryngoscope. To confirm correct placement a bronchoscopy was performed; however, the carina could not be visualised and the tube was repositioned several times.

Suddenly a swelling of the abdomen and subcutaneous emphysema in the neck were noticed, ventilation pressures increased, and the patient developed bradycardia. A …