Tension Pneumothorax Developed during the Use of Jackson - Rees Modification System with Ayre's T-Piece.
10.4097/kjae.1990.23.1.95
- Author:
Yong Joon JEON
1
;
Keun Man SHIN
;
Wha Ja KANG
;
Dong Soo KIM
;
Kwang Il SHIN
Author Information
1. Department of Anesthesiology, Kyung Hee University, College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Tension pneumothorax;
Alveolar rupture;
High fresh gas flow;
Oxygen flush valve
- MeSH:
Anesthesia;
Anesthesia, General;
Atmospheric Pressure;
Child;
Child, Preschool;
Diagnosis;
Gases;
Hand;
Humans;
Intubation;
Lacerations;
Lung;
Oxygen;
Pneumothorax*;
Respiration, Artificial;
Rupture;
Subcutaneous Emphysema;
Thorax;
Ventilation
- From:Korean Journal of Anesthesiology
1990;23(1):95-99
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pneumothorax was recognized as a potential hazard of mechanical ventilation during anesthesia. Because the gases used in anesthesia are delivered from cylinder and wall outlets at higher than atmospheric Pressure, the possibility of damage to the lung is over present. Alveolar rupture may occur when there is free transmission of high pressure to the alveoli during tracheal intubation at the start of anesthesia. We had a case of tension pneumothorax developed during the use of Jackson-Rees modification with Ayres T-piece for primary closure of laceration on right hand in 4 years old child under general anesthesia. The patient was presented of acute respiratory distress resulting from pneumothorax and subcutaneous emphysema just after tracheal intubation. The tension pneumothorax was noticed on chest X-ray. This complication was the result of undesirable alveolar ventilation with high fresh gas flow by accidental using of oxygen flush valve. With the prompt decision of diagnosis of tension pneumothorax and aggresive treatment, the patient recovered uneventfully and discharged 7 days later.
