Bilateral tension pneumothorax caused by an abrupt increase in airway pressure during cervical spine surgery in the prone position: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 373-376, 2011.
Article
Dans Anglais
| WPRIM
| ID: wpr-224607
ABSTRACT
Elevated peak inspiratory airway pressure (PIP) can occur during general anesthesia and is usually easily rectified. In rare circumstances it can lead to potentially fatal conditions such as tension pneumothorax. We report on a 77-year-old male patient admitted for a cervical laminoplasty. The preoperative chest radiograph showed normal findings and there was no medical history of allergy or underlying airway inflammation. Anesthesia induction and maintenance progressed uneventfully. However, 5 minutes after prophylactic antibiotic administration, PIP suddenly increased and blood pressure dropped. The operation was abandoned and the patient was moved to a supine position to perform chest radiography. Cardiac arrest occurred, and cardiopulmonary resuscitation was performed. The radiograph showed bilateral tension pneumothorax. Needle aspiration was immediately performed, and chest tubes were inserted. Ventilation rapidly improved and the vital signs normalized. The patient was discharged without sequelae on postoperative day 36.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pneumothorax
/
Rachis
/
Thorax
/
Ventilation
/
Pression sanguine
/
Drains thoraciques
/
Décubitus dorsal
/
Réanimation cardiopulmonaire
/
Signes vitaux
/
Arrêt cardiaque
Limites du sujet:
Adulte très âgé
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Korean Journal of Anesthesiology
Année:
2011
Type:
Article
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