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Transbronchoscopic Oxygen Insufflation-induced Barotrauma During Endobronchial Silicon Spigot Removal.
MedLine Citation:
PMID:  23609258     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
While transbronchoscopic air insufflation has been described in refractory atelectasis as a therapy without any serious complications, 3 cases of gastric rupture during the same procedure have been reported when it was used to support tracheal intubation by employing the jet of oxygen from the wall pipeline. Here, we report a 66-year-old woman who underwent transbronchoscopic oxygen insufflation using a flexible fiberscope to clear away secretions during an endobronchial silicon spigot removal procedure. She suffered a sudden drop of blood pressure with pneumomediastinum, subpleural and subcutaneous emphysema, and bilateral pneumothorax. Blood pressure recovered rapidly when we stopped the insufflation. Tube thoracostomy was initiated, and she recovered well without systemic air embolism. We conclude that transbronchoscopic oxygen insufflation using the wall pipeline does carry a potential risk of serious barotrauma, and is not to be recommended except with the use of a pressure monitor or pop-off valve.
Authors:
Yoshinobu Hata; Fumitomo Sato; Keigo Takagi; Hidenori Goto; Kazuyoshi Tamaki; Hajime Otsuka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of bronchology & interventional pulmonology     Volume:  20     ISSN:  1948-8270     ISO Abbreviation:  J Bronchology Interv Pulmonol     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-04-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101496866     Medline TA:  J Bronchology Interv Pulmonol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  179-82     Citation Subset:  IM    
Affiliation:
Department of Chest Surgery, Toho University Omori Medical Center, Tokyo, Japan.
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