1/10. subcutaneous emphysema and pneumomediastinum after endotracheal anaesthesia.INTRODUCTION: We report a case of subcutaneous emphysema and pneumomediastinum that presented postoperatively after tracheal extubation. CLINICAL PICTURE: A 51-year-old man had an uneventful anaesthesia lasting about 6.5 hours. intubation was performed by a very junior medical officer and was considered difficult. He developed sore throat, chest pain, numbness of both hands and palpable crepitus around the neck postoperatively. Chest X-ray revealed diffuse subcutaneous emphysema, pneumomediastinum and possible pneumopericardium. TREATMENT: He was treated conservatively with bed rest, oxygen, analgesia, antibiotic prophylaxis, reassurance and close monitoring. OUTCOME: The patient made an uneventful recovery. CONCLUSIONS: We discussed the possible causes.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/10. Massive subcutaneous emphysema following routine endotracheal intubation.Upper aerodigestive tract injury after endotracheal intubation is a rare but serious complication. The case of a 57-year-old female, who developed extensive neck and pneumomediastinum following a knee arthroscopy under general anaesthesia, is presented. Possible mechanisms of injury and management options are discussed.- - - - - - - - - - ranking = 0.2keywords = anaesthesia (Clic here for more details about this article) |
3/10. Pneumomediastinum in labour -- probably not caused by a lumbar epidural anaesthesia.We describe a case of pneumomediastinum and subcutaneous emphysema during labour. The patient had previously received an epidural anaesthesia to alleviate labour pain. We found several reports of subcutaneous emphysema and pneumomediastinum (or pneumothorax) possibly caused by or related to epidural anaesthesia use, but conclude that the epidural anaesthesia was probably not a cause in our case.- - - - - - - - - - ranking = 1.4keywords = anaesthesia (Clic here for more details about this article) |
4/10. Spontaneous pneumomediastinum in 3rd trimester of pregnancy.A 25-year-old primiparous woman in her third trimester (36. week) of pregnancy presented with spontaneous pneumomediastinum and cervical subcutaneous emphysema. The patient's symptoms were completely resolved after 2 weeks of supportive management. A Caesarean section was performed in 40. week under general anaesthesia resulting in the birth of a healthy infant. Spontaneous pneumomediastinum is very rare and generally dangerous for a pregnant woman and infant.- - - - - - - - - - ranking = 0.2keywords = anaesthesia (Clic here for more details about this article) |
5/10. Pneumomediastinum during general anaesthesia: a case report.A case is reported of a pneumomediastinum which presented as an unexplained dysrhythmia during a routine general anaesthestic in a previously fit 19-year-old girl. The possible precipitating factors in this case are discussed along with a description of the signs and symptoms and an outline of its management.- - - - - - - - - - ranking = 0.8keywords = anaesthesia (Clic here for more details about this article) |
6/10. mediastinal emphysema following extradural analgesia in a ventilated patient.A case of mediastinal emphysema developing in a patient under general anaesthesia supplemented with epidural analgesia is described. A possible cause is discussed and its prevention considered.- - - - - - - - - - ranking = 0.2keywords = anaesthesia (Clic here for more details about this article) |
7/10. Tracheocele: a rare cause of difficult endotracheal intubation and subsequent pneumomediastinum.A case is described in which accidental perforation of a tracheocele caused by endotracheal intubation resulted in a postoperative pneumomediastinum. The tracheocele, an extremely rare finding in clinical anaesthesia, was confirmed radiologically and for the first time demonstrated by computed tomography.- - - - - - - - - - ranking = 0.2keywords = anaesthesia (Clic here for more details about this article) |
8/10. Delayed surgical emphysema, pneumomediastinum and bilateral pneumothoraces after postoperative vomiting.We describe a case of surgical emphysema, pneumomediastinum and bilateral pneumothoraces which occurred some hours after general anaesthesia for a repeat laparoscopy and followed persistent nausea and vomiting. We report the case because of the unexpected and delayed appearance, which led to delay in diagnosis and management. We suggest that this intrathoracic air leak was a consequence of postoperative vomiting rather than a complication of laparoscopy.- - - - - - - - - - ranking = 0.2keywords = anaesthesia (Clic here for more details about this article) |
9/10. subcutaneous emphysema in labour.Spontaneous subcutaneous and mediastinal emphysema is a rare but potentially dangerous complication of labour. The condition was observed in an 18-year-old primigravida in the first stage of labour, who subsequently required Caesarean section which was performed under epidural anaesthesia.- - - - - - - - - - ranking = 0.2keywords = anaesthesia (Clic here for more details about this article) |
10/10. Recurrent pneumomediastinum and pneumothorax in Langerhans cell histiocytosis.pneumothorax is an unusual complication of pulmonary Langerhans cell histiocytosis. We report three children who developed recurrent intrathoracic air leaks. In one case, bilateral pneumothoraces may have been precipated by intermittent positive pressure ventilation during general anaesthesia. Chemical pleurodesis was unsuccessful in preventing recurrence of pneumothoraces in two children. The use of extracorporeal membrane oxygenation as an alternative to intermittent positive pressure ventilation in children with respiratory failure from Langerhans cell histiocytosis is discussed.- - - - - - - - - - ranking = 0.2keywords = anaesthesia (Clic here for more details about this article) |
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