Pneumomediastinum and bilateral tension pneumothorax as a complication of oxygen therapy using a nasal cannula

We report the case of a patient who developed a subcutaneous and submucosal emphysema in association with a pneumomediastinum, a bilateral pneumothorax and a pneumoperitoneum. This complication was secondary to oxygen supply via a nasal cannula, which allowed a wrong submucosal pathway previously, c...

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Veröffentlicht in:Annales françaises d'anesthésie et de réanimation 2003-01, Vol.22 (1), p.39
Hauptverfasser: Cesareo, E, Leroy, P, Charron, R, Noel, M, Angenard, F
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creator Cesareo, E
Leroy, P
Charron, R
Noel, M
Angenard, F
description We report the case of a patient who developed a subcutaneous and submucosal emphysema in association with a pneumomediastinum, a bilateral pneumothorax and a pneumoperitoneum. This complication was secondary to oxygen supply via a nasal cannula, which allowed a wrong submucosal pathway previously, created by the traumatic placement of a nasogastric tube. The evolution was uneventful. We comment the pathophysiological mechanism of such a complication and propose simple actions to prevent the reproduction.
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subjects Anxiety - physiopathology
Bronchoscopy
Female
Hemodynamics - physiology
Humans
Intubation, Gastrointestinal
Mediastinal Emphysema - etiology
Mediastinal Emphysema - pathology
Mediastinal Emphysema - physiopathology
Middle Aged
Nasal Mucosa - pathology
Oxygen Inhalation Therapy - adverse effects
Pneumothorax - etiology
Pneumothorax - pathology
Pneumothorax - physiopathology
title Pneumomediastinum and bilateral tension pneumothorax as a complication of oxygen therapy using a nasal cannula
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