Surgical emphysema and pneumothorax following open cholecystectomy under general anesthesia
Joint Authors
Suresh, Govindswamy
Curpod, Prasad G.
Giri, Thaggikuppe V.
Azhar, Sayyidah G.
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 7, Issue 3 (31 Dec. 2014), pp.465-466, 2 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2014-12-31
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Topics
Abstract EN
We present a case of surgical emphysema and bilateral pneumothorax following open cholecystectomy under general anesthesia in a patient previously treated for lower respiratory infection.
Pneumothorax following open cholecystectomy under general anesthesia is rare.
The incidence is about 0.01–0.4%.
Immediate recognition and prompt treatment is essential.
A female patient with history of treated lower respiratory tract infection 6 weeks before surgery posted for open cholecystectomy.
Induction/maintenance phase was uneventful.
At the time of extubation, surgical emphysema was noticed in the chest, neck, and face.
Airway pressures and vitals were normal.
Chest radiograph confi rmed pneumothorax, which was promptly treated.
Pneumothorax following general anesthesia is due to injury to the pleura or rupture of intrapulmonary alveoli.
The probable precipitating cause in our patient could be because of previous history of lower respiratory tract infection, intermittent positive-pressure ventilation, and nitrous oxide.
High index of suspicion is required to diagnose pneumothorax in a patient with surgical emphysema with stable vital data and normal airway pressures.
American Psychological Association (APA)
Curpod, Prasad G.& Suresh, Govindswamy& Giri, Thaggikuppe V.& Azhar, Sayyidah G.. 2014. Surgical emphysema and pneumothorax following open cholecystectomy under general anesthesia. Ain Shams Journal of Anesthesiology،Vol. 7, no. 3, pp.465-466.
https://search.emarefa.net/detail/BIM-652391
Modern Language Association (MLA)
Curpod, Prasad G.…[et al.]. Surgical emphysema and pneumothorax following open cholecystectomy under general anesthesia. Ain Shams Journal of Anesthesiology Vol. 7, no. 3 (Sep. / Dec. 2014), pp.465-466.
https://search.emarefa.net/detail/BIM-652391
American Medical Association (AMA)
Curpod, Prasad G.& Suresh, Govindswamy& Giri, Thaggikuppe V.& Azhar, Sayyidah G.. Surgical emphysema and pneumothorax following open cholecystectomy under general anesthesia. Ain Shams Journal of Anesthesiology. 2014. Vol. 7, no. 3, pp.465-466.
https://search.emarefa.net/detail/BIM-652391
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 466
Record ID
BIM-652391