Document Detail

Iatrogenic pulmonary overpressure accident.
MedLine Citation:
PMID:  3740584     Owner:  NLM     Status:  MEDLINE    
An unconscious victim of an overdose was intubated with an endotracheal tube to prevent aspiration. The respiratory therapist deflated the cuff of the endotracheal tube to allow for a retrograde oral air leak and then tightly attached the oxygen tube directly to the endotracheal tube. Seconds later there was a loud pop as the oxygen tube blew off the end of the endotracheal tube. The patient sustained both a hemodynamic and a neurologic decompensation as the result of marked pulmonary overinflation, with bilateral pneumothoraces and probable cerebral and coronary artery air emboli. We present the case in the hope that it will help avoid any such future occurrences.
J Wasserberger; G J Ordog; A F Turner; J Eskridge; G Bryon; D H Eubanks; V Wali
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  15     ISSN:  0196-0644     ISO Abbreviation:  Ann Emerg Med     Publication Date:  1986 Aug 
Date Detail:
Created Date:  1986-09-17     Completed Date:  1986-09-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  947-51     Citation Subset:  AIM; IM    
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MeSH Terms
Barotrauma / etiology*
Diazepam / poisoning
Intubation, Intratracheal / adverse effects*,  instrumentation
Pneumoperitoneum / etiology
Pneumothorax / etiology*,  therapy
Respiration, Artificial / adverse effects*,  instrumentation
Subcutaneous Emphysema / etiology
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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