Case Report : Pneumomediastinum after arthroscopic shoulder surgery -A case report

An 86-year-old female with a history of right rotator cuff injury was admitted for arthroscopic shoulder surgery under general anesthesia. There were no remarkable immediate postoperative complications. However, while recovering in the general ward, she developed dyspnea with hypoxia. She was immedi...

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Bibliographic Details
Published inKorean journal of anesthesiology Vol. 64; no. 4; pp. 376 - 379
Main Authors Hae Kyoung Kim, Eun Sung Ko, Jee Young Kim, Jung Min Park, Jae Yun Kim, Nam Sik Woo
Format Journal Article
LanguageKorean
Published 대한마취통증의학회(구 대한마취과학회) 30.04.2013
Subjects
Arthroscopic surgery
Pneumomediastinum
Postoperative complication
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Summary:An 86-year-old female with a history of right rotator cuff injury was admitted for arthroscopic shoulder surgery under general anesthesia. There were no remarkable immediate postoperative complications. However, while recovering in the general ward, she developed dyspnea with hypoxia. She was immediately treated with oxygen, and antibiotics after pneumomediastinum was confirmed on both chest x-ray and chest computed tomography. Subcutaneous emphysema on either face or neck followed by arthroscopic shoulder surgery was common, but pneumomediastinum with hypoxia is a rare but extremely dangerous complication. Thus we would like to report our case and its pathology, the diagnosis, the treatment and prevention, with literature review.
Bibliography:The Korean Society of Anesthesiologists
ISSN:2005-6419
2005-7563