We experienced an 18-month-old patient with congenital lobar emphysema who underwent one-lung ventilation. With con-sideration that positive pressure ventilation could induce cardiopulmonary distress, induction was performed with spontane-ous breathing using sevoflurane without neuromuscular blocking agent. Bronchospasm occurred after intubation and posi-tion change, twice. He was relieved by administration of neuromuscular blocking agents. We discussed induction methods with minimal positive-pressure ventilation and the treatments for bronchospasm.

• 박천희(광주기독병원 마취통증의학과) | Cheon Hee Park Corresponding author
• 박홍찬(광주기독병원 마취통증의학과) | Hong Chan Park
• 안상순(광주기독병원 마취통증의학과) | Sang Soon An
• 임용석(광주기독병원 마취통증의학과) | Yong Seok Lim
• 박대일(광주기독병원 마취통증의학과) | Dae Il Park