Pneumothorax following shoulder arthroscopy under combined regional and general anaesthesia—A case report

Highlights • Needle punctures, upper extremity block, infiltration associated to surgery. • Surgery related forces; diathermia in close proximity to the pleural space, any external force that may cause changes in the pleural pressures, e.g. shavers, profound pressure associated breast implant, recon...

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Bibliographic Details
Published inInternational journal of surgery case reports Vol. 24; pp. 73 - 76
Main Authors Leander-Olsson, Oskar, Borglund-Hemph, Anna, Jakobsson, Jan G
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ltd 01.01.2016
Elsevier
Subjects
Case Report
General anaesthesia
Medicin och hälsovetenskap
Pneumothorax
Shoulder arthroscopy
Surgery
Upper extremity block
Case report
General anaesthesia
Pneumothorax
Shoulder arthroscopy
Upper extremity block
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Summary:Highlights • Needle punctures, upper extremity block, infiltration associated to surgery. • Surgery related forces; diathermia in close proximity to the pleural space, any external force that may cause changes in the pleural pressures, e.g. shavers, profound pressure associated breast implant, reconstruction etc. • Anaesthesia-associated factors; any “accidental” high peak bronchial pressures e.g. caused by bronch intubation or use of a tube-exchange catheter, especially with continuous oxygen flow, and possibly enforced lung recruitment in a at risk patient. • Patient factors; smoking and lung disease, COPD/emphysema, lung cancer, history of pneumothorax, recent thoracic trauma. • Lung auscultation is not sufficient for identification of pneumothorax.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2016.05.012