Pneumothorax and Pneumomediastinum Occurred after Esophageal Perforation by a Stylet during Difficult Endotracheal Intubation. |
Yee Suk Kim, In Su Han, June Kyu Ahn |
Department of Anesthesiology, College of Medicine, The Catholic University of Korea, Seoul, Korea. |
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Abstract |
Pneumothorax and pneumomediastinum can occur spontaneously, secondary to trauma, or from dissection of air from the neck or retroperitoneal space. The most common cause of traumatic pneumomediastinum is a rupture of the esophagus, which can occur during an episode of severe vomiting or, less frequently, following esophageal instrumention. We experienced a case of pneumothorax and pneumomediastinum, developed after esophageal perforation by stylet during difficult endotracheal intubation even though an esophagogram did not reveal the perforation site. |
Key Words:
Complication: pneumomediastinum; Intubation, tracheal: difficult |
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