Cervicofacial subcutaneous emphysema and pneumomediastinum after retinal detachment surgery: just another monitored anesthesia eye case

Abstract Repair of a retinal detachment was performed during a retrobulbar block with monitored anesthesia care and intravenous conscious sedation. Following the procedure and after removal of the sterile drapes, the patient exhibited significant swelling of the bilateral orbits, face, neck, and che...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2011-08, Vol.23 (5), p.410-413
Main Author: Colson, James D., MS, MD
Format: Article
Language:English
Subjects:
Airway management
Anesthesia
Anesthesia & Perioperative Care
Anesthesia - methods
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Conscious Sedation - methods
Emphysema
Eye surgery
Female
Gases
Humans
Intraoperative Complications
Intubation
Mediastinal Emphysema - etiology
Medical sciences
Middle Aged
Monitored anesthesia care
Nerve Block - methods
Orbits
Pain
Pain Medicine
Retinal detachment
Retinal Detachment - surgery
Retrobulbar block
Subcutaneous emphysema
Subcutaneous Emphysema - etiology
Surgery
Tomography, X-Ray Computed - methods
Ventilation
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Summary:Abstract Repair of a retinal detachment was performed during a retrobulbar block with monitored anesthesia care and intravenous conscious sedation. Following the procedure and after removal of the sterile drapes, the patient exhibited significant swelling of the bilateral orbits, face, neck, and chest. Subcutaneous emphysema and pneumomediastinum were confirmed on postoperative chest radiographs and computed tomographic scans. Possible mechanisms and potential sequelae of this intraoperative event are discussed.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2010.08.019