ABSTRACT
El neumomediastino espontáneo asociado a enfisemasubcutáneo es una complicación rara, pero potencialmenteletal, del final de embarazo y el parto. Presentamosel caso de una mujer primípara, que después de unparto eutócico, con recién nacido normosómico y transcurridosunos minutos del puerperio inmediato, desarrollóun neumomediastino y enfisema subcutáneo extensocon importante repercusión sintomática. Habitualmenteesta patología es autolimitada en el contexto del periparto,y su manejo incluye el cese de los factores agravantesy la observación estricta de la paciente con un tratamientoconservador de la sintomatología (AU)
Spontaneous pneumomediastinum associated withsubcutaneous emphysema is a rare, though life-threatening,complication of late pregnancy and labor. We report the case ofa primipara who, after undergoing normal labor and deliveryof a normal-weight baby, developed pneumomediastinum andextensive subcutaneous emphysema with significant symptomswithin minutes of delivery. This peripartum complication isusually self-limiting when the aggravating factors are nolouguer present. Management includes strict monitoring of thepatient and conservative treatment of symptoms (AU)
Subject(s)
Humans , Female , Adult , Mediastinal Emphysema/diagnosis , Subcutaneous Emphysema/diagnosis , Puerperal Disorders/diagnosis , Analgesia, Epidural , Analgesia, Obstetrical , Diagnosis, Differential , Chest Pain/etiology , Dyspnea/etiologyABSTRACT
Spontaneous pneumomediastinum associated with subcutaneous emphysema is a rare, though life-threatening, complication of late pregnancy and labor. We report the case of a primipara who, after undergoing normal labor and delivery of a normal-weight baby, developed pneumomediastinum and extensive subcutaneous emphysema with significant symptoms within minutes of delivery. This peripartum complication is usually self-limiting when the aggravating factors are no louguer present. Management includes strict monitoring of the patient and conservative treatment of symptoms.
Subject(s)
Mediastinal Emphysema/etiology , Puerperal Disorders/etiology , Pulmonary Alveoli/injuries , Subcutaneous Emphysema/etiology , Valsalva Maneuver , Adult , Chest Pain/drug therapy , Chest Pain/etiology , Dyspnea/etiology , Dyspnea/therapy , Female , Humans , Hypnotics and Sedatives/therapeutic use , Mediastinal Emphysema/therapy , Midazolam/therapeutic use , Morphine/therapeutic use , Oxygen Inhalation Therapy , Pregnancy , Puerperal Disorders/therapy , Purpura/etiology , Rupture, SpontaneousSubject(s)
Carotid Artery, Internal , Diagnostic Techniques, Neurological , Dominance, Cerebral , Epilepsy, Complex Partial/surgery , Epilepsy, Temporal Lobe/surgery , Language , Memory , Propofol , Temporal Lobe/physiopathology , Adult , Amobarbital/supply & distribution , Anticonvulsants/therapeutic use , Drug Resistance , Epilepsy, Complex Partial/drug therapy , Epilepsy, Complex Partial/physiopathology , Epilepsy, Temporal Lobe/drug therapy , Epilepsy, Temporal Lobe/physiopathology , Humans , Injections, Intra-Arterial , Male , Memory/physiology , Preoperative Care , Propofol/administration & dosage , Temporal Lobe/blood supply , Temporal Lobe/surgeryABSTRACT
Anesthesia for imaging by nuclear magnetic resonance presents special problems due to the effect of the large magnetic field and high frequency radio waves on monitoring and respiratory systems. These systems in turn affect image quality. Special materials should be designed specifically for this context or existing materials should be modified.
