Pneumo-thorax/mediastinum/(retro)peritoneum/ scrotum - a full house of complications following JET ventilation

We present a patient who presented to our clinic with airway obstruction secondary to oropharygeal cancer. He underwent emergent tracheostomy with JET ventilation, the latter resulting in a "full house" of barotraumatic complications including pneumothorax, pneumomediastinum, pneumoperiton...

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Published inActa otorhino-laryngologica italica Vol. 37; no. 1; pp. 72 - 75
Main Authors Pézier, T F, Widmer, G-M, Huber, G F
Format Journal Article
LanguageEnglish
Published Italy Pacini Editore SRL 01.02.2017
Subjects
Case Series and Reports
Genital Diseases, Male - etiology
High-Frequency Jet Ventilation - adverse effects
Humans
Male
Mediastinal Emphysema - etiology
Middle Aged
Pneumoperitoneum - etiology
Pneumothorax - etiology
Scrotum
Subcutaneous Emphysema - etiology
Pneumothorax
Chest drain
Pneumoperitoneum
Pneumo-scrotum
Free air
Pneumoretroperitoneum
Jet ventilation
Pneumomediastinum
Subcutaneous emphysema
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Summary:We present a patient who presented to our clinic with airway obstruction secondary to oropharygeal cancer. He underwent emergent tracheostomy with JET ventilation, the latter resulting in a "full house" of barotraumatic complications including pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum and pneumo-scrotum. Free air, while sometimes dramatic as in our case, need not always be a cause for alarm and can often be managed expectantly. Our patient was treated with only a chest drain and otherwise made an uneventful recovery.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0392-100X
1827-675X
DOI:10.14639/0392-100X-726