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Cardiac arrest induced by tension pneumothorax during ventilating bronchoscopy -A case report-.

Han KA, Kim HJ, Byon HJ, Kim JT, Kim HS, Kim CS, Kim SD - Korean J Anesthesiol (2010)

Bottom Line: Tension pneumothorax was due to tracheobronchial lacerations caused by a bronchoscope.The patient was successfully resuscitated by cardiopulmonary resuscitation and chest tube insertion.The airway injury was effectively repaired by thoracotomy under extracorporeal membrane oxygenation.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT
Tension pneumothorax during ventilating bronchoscopy for foreign body removal is a rare but life-threatening complication. The authors present a case of cardiac arrest caused by tension pneumothorax in a 9-month-old girl who underwent ventilating bronchoscopy for foreign body (peanut) removal. Tension pneumothorax was due to tracheobronchial lacerations caused by a bronchoscope. The patient was successfully resuscitated by cardiopulmonary resuscitation and chest tube insertion. The airway injury was effectively repaired by thoracotomy under extracorporeal membrane oxygenation.

No MeSH data available.


Related in: MedlinePlus

Laceration of the trachea. The posterior portion of the trachea is lacerated longitudinally just above the carnina. RMB: right main bronchus, C: carina, LMB: left main bronchus, L: lacerated site in carina.
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Figure 4: Laceration of the trachea. The posterior portion of the trachea is lacerated longitudinally just above the carnina. RMB: right main bronchus, C: carina, LMB: left main bronchus, L: lacerated site in carina.

Mentions: The tension pneumothorax suggested major tracheobronchial injury and a subsequent bronchoscopic examination revealed three major sites of laceration, one in the mid trachea of length 1.5 cm, a second in the distal trachea of length 2 cm (immediately above the carina) (Fig. 4), and a third in the right main bronchus of length 1 cm.


Cardiac arrest induced by tension pneumothorax during ventilating bronchoscopy -A case report-.

Han KA, Kim HJ, Byon HJ, Kim JT, Kim HS, Kim CS, Kim SD - Korean J Anesthesiol (2010)

Laceration of the trachea. The posterior portion of the trachea is lacerated longitudinally just above the carnina. RMB: right main bronchus, C: carina, LMB: left main bronchus, L: lacerated site in carina.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2926429&req=5

Figure 4: Laceration of the trachea. The posterior portion of the trachea is lacerated longitudinally just above the carnina. RMB: right main bronchus, C: carina, LMB: left main bronchus, L: lacerated site in carina.
Mentions: The tension pneumothorax suggested major tracheobronchial injury and a subsequent bronchoscopic examination revealed three major sites of laceration, one in the mid trachea of length 1.5 cm, a second in the distal trachea of length 2 cm (immediately above the carina) (Fig. 4), and a third in the right main bronchus of length 1 cm.

Bottom Line: Tension pneumothorax was due to tracheobronchial lacerations caused by a bronchoscope.The patient was successfully resuscitated by cardiopulmonary resuscitation and chest tube insertion.The airway injury was effectively repaired by thoracotomy under extracorporeal membrane oxygenation.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT
Tension pneumothorax during ventilating bronchoscopy for foreign body removal is a rare but life-threatening complication. The authors present a case of cardiac arrest caused by tension pneumothorax in a 9-month-old girl who underwent ventilating bronchoscopy for foreign body (peanut) removal. Tension pneumothorax was due to tracheobronchial lacerations caused by a bronchoscope. The patient was successfully resuscitated by cardiopulmonary resuscitation and chest tube insertion. The airway injury was effectively repaired by thoracotomy under extracorporeal membrane oxygenation.

No MeSH data available.


Related in: MedlinePlus