| Macklin effect as potential responsible complication after retrograde intubation: a case report. | |
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MedLine Citation:
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PMID: 20939204 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Retrograde intubation is currently part of the Difficult Airway Algorithm of the American Society of Anesthesiologists, and as such, every anesthesiologist should be competent in this procedure. Nevertheless, when performing it, one must be aware that it is not exempt of complications. We review the case of a patient who, after being intubated using this technique, developed signs and symptoms compatible with the Macklin effect. Macklin effect involves a three-step pathophysiologic process: blunt traumatic alveolar rupture, air dissection along bronchovascular sheaths, and spreading of this blunt pulmonary interstitial emphysema into the mediastinum. |
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Authors:
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Normidaris Rodríguez; Víctor Cardona |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Boletín de la Asociación Médica de Puerto Rico Volume: 102 ISSN: 0004-4849 ISO Abbreviation: Bol Asoc Med P R Publication Date: 2010 Apr-Jun |
Date Detail:
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Created Date: 2010-10-13 Completed Date: 2010-11-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7505267 Medline TA: Bol Asoc Med P R Country: Puerto Rico |
Other Details:
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Languages: eng Pagination: 42-4, 46 Citation Subset: IM |
Affiliation:
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Department of Anesthesia, 9th floor, U.P.R. School of Medicine, PR Health Science Center, Rio Piedras, PR 00936. normidaris228@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Algorithms Emphysema / etiology* Humans Intubation, Intratracheal / adverse effects*, methods* Male Pulmonary Alveoli / injuries* Rupture Wounds, Nonpenetrating / etiology* Young Adult |
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