| Alteration of capnogram as the first sign of pneumothorax in an infant who underwent bronchoscopy with jet ventilation. | |
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MedLine Citation:
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PMID: 19527971 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 3-month-old male infant underwent rigid bronchoscopy with manual jet ventilation due to persistent right upper lobe collapse under capnographic surveillance. The CO2 waveform abruptly vanished soon after application of jet ventilation, while breath sounds decreased gradually until the left side breath sounds were barely audible. Progressive abdominal distension with protruding umbilicus was also detected at the same time. Under the impression of bilateral tension pneumothorax, emergent needle decompression was carried out. In this case, the sudden onset of CO2 waveform change was the first warning sign of pneumothorax, which is the most common complication of jet ventilation. Therefore, we strongly recommend that continuous capnographic surveillance be applied during bronchoscopy with jet ventilation. |
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Authors:
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Feng-Fang Tsai; Kai-Yu Wang; Li-Kuei Chen; Shou-Zen Fan |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists Volume: 47 ISSN: 1875-4597 ISO Abbreviation: - Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-06-16 Completed Date: 2009-08-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101214918 Medline TA: Acta Anaesthesiol Taiwan Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 92-4 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan, R.O.C. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bronchoscopy* Capnography* High-Frequency Jet Ventilation / adverse effects* Humans Infant Male Pneumothorax / diagnosis, etiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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