Tension Pneumothorax During Pediatric Bronchoscopy

Gallagher, Michael J.; Müller, B

doi:10.1097/00000542-198155060-00015

Cited by 19 publications

(9 citation statements)

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“…6 Pneumothorax following fibre-optic bronchoscopy without transbronchial biopsy is rare -29 per 75 000 cases. 7 Tension pneumothorax during flexible bronchoscopy in a newborn has been described. 2 channel in a 2.8 mm endoscope may have been the cause.…”

Section: Discussionmentioning

confidence: 98%

Bilateral tension pneumothorax following rigid bronchoscopy: A report of an epignathus in a newborn delivered by the EXIT procedure with a fatal outcome

et al. 2005

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We describe a case of a newborn baby with a prenatal diagnosis of an epignathus (oropharyngeal teratoma). With the potential for airway problems at birth, he was delivered by an elective EXIT (Extra Utero Intrapartum Treatment) procedure at 38 weeks of pregnancy. The airway was secured and rigid bronchoscopy performed. Initially he was stable, but developed cardiorespiratory difficulties 40 minutes after birth and died from a cardiac arrest 17 minutes later. Tension pneumothorax is a devastating complication that can occur with lower airway manipulation for anaesthesia and rigid bronchoscopy. The addition of positive pressure during mechanical ventilation converts the pneumothorax into a tension pneumothorax. The possibility of tension pneumothorax should be entertained in a mechanically ventilated patient whose ventilatory pressures are increasing, with diminishing cardiac output. A complicated case is presented, where the diagnosis was missed with a fatal outcome.

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Section: Discussionmentioning

confidence: 98%

Bilateral tension pneumothorax following rigid bronchoscopy: A report of an epignathus in a newborn delivered by the EXIT procedure with a fatal outcome

et al. 2005

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“…Tension pneumothorax is a rare but life-threatening complication [3,4]. Rothmann and Boeckman [6] reported that the probability of pneumothorax during rigid bronchoscopy for the removal of a foreign body is approximately 1%.…”

Section: Discussionmentioning

confidence: 99%

“…Many complications can occur during ventilating bronchoscopy [2], and tension pneumothorax during ventilating bronchoscopy is a rare but a life-threatening complication [3,4]. Early diagnosis and prompt management are essential for a good outcome.…”

mentioning

confidence: 99%

Cardiac arrest induced by tension pneumothorax during ventilating bronchoscopy -A case report-

Han

Kim

Byon

et al. 2010

Korean J Anesthesiol

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Tension pneumothorax during ventilating bronchoscopy for foreign body removal is a rare but life-threatening complication. The authors present a case of cardiac arrest caused by tension pneumothorax in a 9-month-old girl who underwent ventilating bronchoscopy for foreign body (peanut) removal. Tension pneumothorax was due to tracheobronchial lacerations caused by a bronchoscope. The patient was successfully resuscitated by cardiopulmonary resuscitation and chest tube insertion. The airway injury was effectively repaired by thoracotomy under extracorporeal membrane oxygenation.

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“…3 The pressure achieved against the tracheobronchial tree or distal airways can rapidly reach catastrophic levels, and cases of rapidly expanding subcutaneous emphysema, pneumomediastinum, and tension pneumothorax have been reported during bronchoscopy. [4][5][6] The outer diameter of the bronchoscope can occupy a large portion of the small cross-sectional area of the airway or endotracheal tube in young infants. This will make it difficult for the insufflated oxygen to exhaust out of the lungs.…”

Section: Flexible Bronchoscopy Complicated By Pneumomediastinum and Smentioning

confidence: 99%

Flexible bronchoscopy complicated by pneumomediastinum and subcutaneous emphysema

Gomez

Mahmoud

2019

Pediatric Anesthesia

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Tension Pneumothorax During Pediatric Bronchoscopy

Cited by 19 publications

References 0 publications

Bilateral tension pneumothorax following rigid bronchoscopy: A report of an epignathus in a newborn delivered by the EXIT procedure with a fatal outcome

Bilateral tension pneumothorax following rigid bronchoscopy: A report of an epignathus in a newborn delivered by the EXIT procedure with a fatal outcome

Cardiac arrest induced by tension pneumothorax during ventilating bronchoscopy -A case report-

Flexible bronchoscopy complicated by pneumomediastinum and subcutaneous emphysema

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