Barotrauma Developed During Intra-hospital Transfer -A Case Report-

Overview

Journal Korean J Anesthesiol

Specialty Anesthesiology

Date 2011 Feb 3

PMID 21286445

Citations 3

Authors

Jong Bun Kim

Hyun-Ju Jung

Jae Myeong Lee

Kyong Shil Im

Duk Joo Kim

Affiliations

Soon will be listed here.

Abstract

A 74-year-old male patient receiving ventilatory support due to aspiration pneumonia developed bilateral pneumothorax, pneumopericardium, pneumomediastinum, pneumo-retroperitoneum, and subcutaneous emphysema, after manual ventilation while being transferred from the intensive care unit (ICU) to the operating room (OR). These complications were assumed to be secondary to inappropriate manual ventilation of the intubated patient. In addition, it is likely that the possible migration of an already marginally acceptable endotracheal tube (ETT) position during transport was the cause of these complications. Finally, aggravation of a latent pneumothorax might have contributed to these complications.

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References

Tocino I, WESTCOTT J . Barotrauma. Radiol Clin North Am. 1996; 34(1):59-81. View

Holmes J, Brant W, Bogren H, London K, Kuppermann N . Prevalence and importance of pneumothoraces visualized on abdominal computed tomographic scan in children with blunt trauma. J Trauma. 2001; 50(3):516-20. DOI: 10.1097/00005373-200103000-00017. View

Ricard J . Manual ventilation and risk of barotrauma: primum non nocere. Respir Care. 2005; 50(3):338-9. View

Turki M, Young M, Wagers S, Bates J . Peak pressures during manual ventilation. Respir Care. 2005; 50(3):340-4. View

Leigh-Smith S, Harris T . Tension pneumothorax--time for a re-think?. Emerg Med J. 2004; 22(1):8-16. PMC: 1726546. DOI: 10.1136/emj.2003.010421. View

Ezri T, Khazin V, Szmuk P, Medalion B, Shechter P, Priel I . Use of the Rapiscope vs chest auscultation for detection of accidental bronchial intubation in non-obese patients undergoing laparoscopic cholecystectomy. J Clin Anesth. 2006; 18(2):118-23. DOI: 10.1016/j.jclinane.2005.08.008. View

Gammon R, Shin M, Buchalter S . Pulmonary barotrauma in mechanical ventilation. Patterns and risk factors. Chest. 1992; 102(2):568-72. DOI: 10.1378/chest.102.2.568. View

Chiles C, Ravin C . Radiographic recognition of pneumothorax in the intensive care unit. Crit Care Med. 1986; 14(8):677-80. DOI: 10.1097/00003246-198608000-00002. View

Wall S, Federle M, Jeffrey R, Brett C . CT diagnosis of unsuspected pneumothorax after blunt abdominal trauma. AJR Am J Roentgenol. 1983; 141(5):919-21. DOI: 10.2214/ajr.141.5.919. View

10.

Chen Y, Chen C, Cheng J . Delayed tension pneumothorax during surgery. J Chin Med Assoc. 2005; 68(10):491-4. DOI: 10.1016/S1726-4901(09)70081-4. View

11.

Sugiyama K, Yokoyama K, Satoh K, Nishihara M, Yoshitomi T . Does the Murphy eye reduce the reliability of chest auscultation in detecting endobronchial intubation?. Anesth Analg. 1999; 88(6):1380-3. DOI: 10.1097/00000539-199906000-00033. View

12.

Strange C . Pleural complications in the intensive care unit. Clin Chest Med. 1999; 20(2):317-27. DOI: 10.1016/s0272-5231(05)70144-1. View

13.

McCarren B, Chow C . Manual hyperinflation: a description of the technique. Aust J Physiother. 1996; 42(3):203-208. DOI: 10.1016/s0004-9514(14)60387-1. View

14.

Rubinowitz A, Siegel M, Tocino I . Thoracic imaging in the ICU. Crit Care Clin. 2007; 23(3):539-73. DOI: 10.1016/j.ccc.2007.06.001. View