Document Detail

Tension pneumothorax complicating apnea testing during brain death evaluation.
MedLine Citation:
PMID:  18313926     Owner:  NLM     Status:  MEDLINE    
Tension pneumothorax is a rare complication of the apnea test using the apneic oxygenation method. In reported cases, it has been attributed to massive air trapping beyond a supplemental oxygen cannula that was obstructing the airway. We report a case of tension pneumothorax, pneumomediastinum, and pneumoperitoneum that developed during the apnea test as a result of direct airway perforation by the supplemental oxygen cannula. We review the literature concerning catastrophic airway complications associated with the apneic oxygenation method and suggest ways to avoid them.
Joseph D Burns; James A Russell
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2008-03-03
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  15     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-08     Completed Date:  2008-08-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  580-2     Citation Subset:  IM    
Department of Neurology, Lahey Clinic Medical Center, Burlington, MA 01805, USA.
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MeSH Terms
Apnea / therapy
Brain Death*
Disease Progression
Mediastinal Emphysema / etiology*
Middle Aged
Pneumoperitoneum, Artificial / adverse effects*
Pneumothorax / etiology*

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