High-flow Nasal Cannula-induced Tension Pneumocephalus

High-flow nasal cannula (HFNC) therapy has been established as a promising oxygen treatment with various advantages for respiratory mechanics. One of the main mechanisms is to provide positive airway pressure. This effect could reduce lung injury and improve oxygenation; conversely, it may cause a c...

Full description

Saved in:
Bibliographic Details
Published in:Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine official publication of Indian Society of Critical Care Medicine, 2020, Vol.24 (7), p.592-595
Main Authors: Chang, Youjin, Kim, Tae-Gyu, Chung, Sun-Yoon
Format: Report
Language:English
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:High-flow nasal cannula (HFNC) therapy has been established as a promising oxygen treatment with various advantages for respiratory mechanics. One of the main mechanisms is to provide positive airway pressure. This effect could reduce lung injury and improve oxygenation; conversely, it may cause a complication of positive pressure ventilation. However, data are scarce regarding the possible adverse effects, particularly in adults. We report a patient who developed HFNC-induced tension pneumocephalus from an unrecognized skull base fracture. Physicians should be cautious when applying HFNC to patients with suspected skull base or paranasal sinus fracture, especially when applying a higher flow rate. HOW TO CITE THIS ARTICLEChang Y, Kim T-G, Chung S-Y. High-flow Nasal Cannula-induced Tension Pneumocephalus. Indian J Crit Care Med 2020;24(7):592-595.
ISSN:0972-5229
DOI:10.5005/jp-journals-10071-23482