Pneumomediastinum and Subcutaneous Emphysema after Use of Metallic Endotracheal Tube for Laser Operation: A case report .
10.4097/kjae.1998.34.5.1046
- Author:
Mi Ja YUN
1
;
Jong Yeon PARK
;
Jai Hyun HWANG
Author Information
1. Department of Anesthesiology, College of Medicine, Ulsan University, Seoul, Koera.
- Publication Type:Case Report
- Keywords:
Intubation;
tracheal: complications;
pneumomediastinum;
subcutaneous emphysema
- MeSH:
Airway Obstruction;
Intubation, Intratracheal;
Mediastinal Emphysema*;
Mediastinitis;
Pneumopericardium;
Pneumothorax;
Subcutaneous Emphysema*;
Suction
- From:Korean Journal of Anesthesiology
1998;34(5):1046-1050
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of pneumomediastinum, subcutaneous emphysema, and mild pneumothorax that occurred after endotracheal intubation with a metallic endotracheal tube for the laser operation. Fortunately, pneumomediastinum and subcutaneous emphysema were self-limited. But potentially life-threatening events such as upper airway obstruction, tension pneumothorax, pneumopericardium, mediastinitis might be possible. These complications may result from mucosal perforation of upper airway. The use of a tube with rigid and relatively narrower internal diameter than polyvinylchloride endotracheal tube, tough endotracheal intubation technique, high peak inspiratory pressure, suction technique and negative pressure are included as complication factors.
