Pneumothorax after tracheostomy closure with successful nonsurgical management.

Autor: Lee BH; University of California, San Francisco, CA, USA. Electronic address: bradley.lee@ucsf.edu., Sarah GE; University of California, San Francisco, CA, USA. Electronic address: Gabriel.Sarah@ucsf.edu., Rosbe KW; University of California, San Francisco, CA, USA. Electronic address: Kristina.Rosbe@ucsf.edu., Alemi S; University of California, San Francisco, CA, USA. Electronic address: Sean.Alemi@ucsf.edu.
Jazyk: angličtina
Zdroj: Journal of clinical anesthesia [J Clin Anesth] 2016 Jun; Vol. 31, pp. 115-8. Date of Electronic Publication: 2016 Apr 13.
DOI: 10.1016/j.jclinane.2016.01.033
Abstrakt: A 3-year-old girl presented for routine closure of her tracheostomy site. She was intubated easily for the procedure, and the wound was closed with a drain in place. In recovery, the mother noticed fullness in the patient's submandibular region, and on examination, the girl had subcutaneous emphysema in the neck bilaterally. She returned to the operating room for exploration, and air was released from the surgical site. The wound was again closed with a drain in place, and the patient was extubated uneventfully. After arriving to the pediatric intensive care unit for monitoring, the patient acutely developed respiratory distress and was found to have pneumomediastinum and pneumothorax and was emergently intubated. She was observed closely, and the following day, the pneumothorax improved, and she successfully extubated without further complication.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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