• Ann Fr Anesth Reanim · Jan 2003

    Case Reports

    [Pneumomediastinum and bilateral tension pneumothorax as a complication of oxygen therapy using a nasal cannula].

    • E Cesareo, P Leroy, R Charron, M Noel, and F Angenard.
    • Département d'anesthésie, Polyclinique Saint-Joseph, 13, rue Vacheress, 77400 Lagny-sur-Marne, France. ecesareo@invivo.edu
    • Ann Fr Anesth Reanim. 2003 Jan 1; 22 (1): 39-42.

    AbstractWe report the case of a patient who developed a subcutaneous and submucosal emphysema in association with a pneumomediastinum, a bilateral pneumothorax and a pneumoperitoneum. This complication was secondary to oxygen supply via a nasal cannula, which allowed a wrong submucosal pathway previously, created by the traumatic placement of a nasogastric tube. The evolution was uneventful. We comment the pathophysiological mechanism of such a complication and propose simple actions to prevent the reproduction.

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