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- Mio Oshimizu, Yoshikazu Yamaguchi, Sayaka Tsuboi, Yoh Sugawara, Hajime Hayami, Joseph D Tobias, and Gaku Inagawa.
- From the Department of Anesthesiology, Yokohama Municipal Citizen's Hospital, Yokohama, Japan.
- A A Pract. 2021 Aug 19; 15 (8): e01511.
AbstractIt remains unclear how epidural pneumatosis affects the efficacy of neuraxial anesthesia. Spontaneous pneumomediastinum (Hamman syndrome) with epidural pneumatosis is rare. Regardless of its etiology, general anesthesia with positive pressure ventilation in patients with pneumomediastinum carries the risk of pneumothorax. We present a 19-year-old patient with Hamman syndrome and epidural pneumatosis who required emergency laparotomy. Effective analgesia was obtained using neuraxial anesthesia with a combined spinal-epidural anesthesia technique.Copyright © 2021 International Anesthesia Research Society.
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