• Acta Anaesthesiol Taiwan · Jun 2009

    Case Reports

    Alteration of capnogram as the first sign of pneumothorax in an infant who underwent bronchoscopy with jet ventilation.

    • Feng-Fang Tsai, Kai-Yu Wang, Li-Kuei Chen, and Shou-Zen Fan.
    • Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan, R.O.C.
    • Acta Anaesthesiol Taiwan. 2009 Jun 1; 47 (2): 92-4.

    AbstractA 3-month-old male infant underwent rigid bronchoscopy with manual jet ventilation due to persistent right upper lobe collapse under capnographic surveillance. The CO2 waveform abruptly vanished soon after application of jet ventilation, while breath sounds decreased gradually until the left side breath sounds were barely audible. Progressive abdominal distension with protruding umbilicus was also detected at the same time. Under the impression of bilateral tension pneumothorax, emergent needle decompression was carried out. In this case, the sudden onset of CO2 waveform change was the first warning sign of pneumothorax, which is the most common complication of jet ventilation. Therefore, we strongly recommend that continuous capnographic surveillance be applied during bronchoscopy with jet ventilation.

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…