Pneumomediastinum after arthroscopic shoulder surgery: A case report.
10.4097/kjae.2013.64.4.376
- Author:
Hae Kyoung KIM
1
;
Eun Sung KO
;
Jee Young KIM
;
Jung Min PARK
;
Jae Yun KIM
;
Nam Sik WOO
Author Information
1. Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine, Seoul, Korea. nswoo@kuh.ac.kr
- Publication Type:Case Report
- Keywords:
Arthroscopic surgery;
Pneumomediastinum;
Postoperative complication
- MeSH:
Anesthesia, General;
Anoxia;
Anti-Bacterial Agents;
Arthroscopy;
Dyspnea;
Female;
Humans;
Mediastinal Emphysema;
Neck;
Oxygen;
Patients' Rooms;
Postoperative Complications;
Rotator Cuff;
Shoulder;
Subcutaneous Emphysema;
Thorax
- From:Korean Journal of Anesthesiology
2013;64(4):376-379
- CountryRepublic of Korea
- Language:English
-
Abstract:
An 86-year-old female with a history of right rotator cuff injury was admitted for arthroscopic shoulder surgery under general anesthesia. There were no remarkable immediate postoperative complications. However, while recovering in the general ward, she developed dyspnea with hypoxia. She was immediately treated with oxygen, and antibiotics after pneumomediastinum was confirmed on both chest x-ray and chest computed tomography. Subcutaneous emphysema on either face or neck followed by arthroscopic shoulder surgery was common, but pneumomediastinum with hypoxia is a rare but extremely dangerous complication. Thus we would like to report our case and its pathology, the diagnosis, the treatment and prevention, with literature review.
