• Haikou Yang, Jixiang Zhu, and Jian Sun.
• Department of Anesthesiology, Affiliated Hospital of Yang Zhou University Medical College, Huai'an Maternal and Child Health Care Center, Huai'an, Jiangsu, People's Republic of China.
• Medicine (Baltimore). 2024 Apr 19; 103 (16): e37891e37891.

RationaleTraumatic bronchial rupture in infants usually necessitates surgical intervention, with few reports documenting instances of multiple cardiac arrests occurring during surgery under conditions of severe hypoxemia.Patient ConcernsA 3-year-old boy after trauma presented with severe hypoxemia for 2 days and was urgently transferred to the operating room for surgery, 6 episodes of cardiac arrest happend during surgery.DiagnosesThe baby was diagnosed with bronchial rupture based on the history of trauma, clinica manifestations, and intraoperative findings.InterventionsIntrathoracic cardiac compression and intravenous adrenaline were administrated.OutcomesThe normal sinus rhythm of the heart was successfully restored within 1 minute on each occasion, facilitating the smooth completion of the surgical procedure. By the end of surgery, SpO2 levels had rebounded to 95% and remained stable.LessonsInadequate management of bronchial ruptures in infants frequently coincides with severe hypoxemia, necessitating immediate surgical intervention. Prompt identification and management of cardiac arrest by anesthetists during surgery is imperative to reduce mortality.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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