Document Detail


Tension pneumopericardium following tracheoplasty for congenital tracheal stenosis.
MedLine Citation:
PMID:  9352769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Tension pneumopericardium is a rare complication of mechanical ventilation following tracheoplasty for congenital tracheal stenosis. This case report describes fatal tension pneumopericardium in a three-month-old male infant some 24 hours following tracheoplasty for this condition. Because of persisting stenosis of the left main bronchus, ventilation pressures of PIP 23 cm H2O and PEEP 5 cm, progressing to PIP 28 cm and PEEP 7 cm were needed to maintain adequate respiratory exchange. Partial relief of the pneumopericardium was achieved by vigorous cardiac massage, but three days later the infant died of massive airway haemorrhage.
Authors:
M Sugimoto; M Shimaoka; S Hagihira; Y Fujino; S Nishimura; S Kamata; N Taenaka; I Yoshiya
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  25     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1997-12-04     Completed Date:  1997-12-04     Revised Date:  2006-08-28    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  539-41     Citation Subset:  IM    
Affiliation:
Intensive Care Unit, Osaka University Hospital, Japan.
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MeSH Terms
Descriptor/Qualifier:
Acidosis, Respiratory / etiology
Airway Obstruction / etiology
Bronchial Diseases / etiology
Edema / etiology
Extracorporeal Membrane Oxygenation
Fatal Outcome
Heart Massage
Hemorrhage / etiology
Humans
Infant
Male
Pneumopericardium / etiology*
Positive-Pressure Respiration / adverse effects
Pressure
Pulmonary Gas Exchange
Reconstructive Surgical Procedures
Respiration, Artificial / adverse effects
Trachea / surgery*
Tracheal Diseases / etiology
Tracheal Stenosis / congenital*,  surgery

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


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