A Sudden Increase in Intrathoracic Pressure After Fibrin Glue Application During A Pediatric Thoracoscopic Surgery: A Case Report.

This case report describes an infant with congenital esophageal atresia who underwent thoracoscopic surgery and experienced a tension pneumothorax following the application of a fibrin glue product spray, resulting in critical hemodynamic deterioration close to circulatory arrest due to sudden and extreme elevation of intrathoracic pressure. Prompt action and adequate instruction to the surgeon by the clinical engineer in charge to reduce thoracic pressure facilitated a quick recovery from this critical hemodynamic situation. It is essential to understand the structure of the insufflation unit and manage accidental increases in closed cavity pressure during thoracoscopic or laparoscopic surgery.