Tension pneumothorax and cardiac arrest from an improvised oxygen delivery system

Abstract An improvised mechanism for delivering supplemental oxygen to a spontaneously breathing, tracheally intubated patient set the stage for a case of barotrauma, bilateral tension pneumothorax, and cardiovascular collapse. Diagnosis and treatment was delayed by failed needle decompression of th...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2007-11, Vol.19 (7), p.546-548
Main Authors: Wax, David B., MD, Bhagwan, Sabrina, MD, Beilin, Yaakov, MD
Format: Article
Language:English
Subjects:
Adult
Anesthesia
Anesthesia & Perioperative Care
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Barotrauma
Biological and medical sciences
Cardiac arrest
Diabetes Complications - surgery
Female
Heart Arrest - etiology
Humans
Intraoperative Complications - etiology
Intubation, Intratracheal
Kidney Transplantation
Medical sciences
Oxygen delivery system
Oxygen Inhalation Therapy - adverse effects
Oxygen Inhalation Therapy - instrumentation
Pain Medicine
Pancreas Transplantation
Pneumothorax - etiology
Respiration, Artificial - adverse effects
Respiration, Artificial - instrumentation
Tension pneumothorax
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Summary:Abstract An improvised mechanism for delivering supplemental oxygen to a spontaneously breathing, tracheally intubated patient set the stage for a case of barotrauma, bilateral tension pneumothorax, and cardiovascular collapse. Diagnosis and treatment was delayed by failed needle decompression of the pneumothoraces. Recommendations are made regarding the prevention and treatment of this complication to improve patient safety.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2007.02.013