Apnea test induced barotrauma in an obese subject with a short neck - A case report

IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL BioMedicine-Taiwan Pub Date : 2023-07-20 DOI:10.51248/.v43i3.2224
S. Purushothaman, A. A. Al bshabshe, Alwadai Nasser Mohammed M., Naif Sulaiman, Omprakash Palanivel
{"title":"Apnea test induced barotrauma in an obese subject with a short neck - A case report","authors":"S. Purushothaman, A. A. Al bshabshe, Alwadai Nasser Mohammed M., Naif Sulaiman, Omprakash Palanivel","doi":"10.51248/.v43i3.2224","DOIUrl":null,"url":null,"abstract":"Death is an assured inevitability event for all living beings of this cosmos. Based on the American Academy of Neurology (AAN) recommendations, clinical diagnosis of Brain Death (BD) includes multiple sequences of tests. The Apnea Test (AT) is a more significant procedure in diagnosing BD. Unfortunately, complications during this procedure can occur more frequently than documented, and its incidence is limited to case reports. However, most critical care physicians and Cardio-respiratory therapists consider an AT a principal method to confirm BD as it provides decisive information about the definitive loss of brainstem function. Here, we describe the execution of the AT procedure that transpired into extensive subcutaneous emphysema, tension pneumothorax, and pneumoperitoneum followed by pulseless electrical activity due to direct airway perforation by the supplemental oxygen catheter. In addition, we do a literature review on airway complications incidence and suggest methods to avoid such fatal complications. Finally, further prospective studies are recommended to evaluate the barotrauma incidence and complication nature during AT.","PeriodicalId":51650,"journal":{"name":"BioMedicine-Taiwan","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BioMedicine-Taiwan","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.51248/.v43i3.2224","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Death is an assured inevitability event for all living beings of this cosmos. Based on the American Academy of Neurology (AAN) recommendations, clinical diagnosis of Brain Death (BD) includes multiple sequences of tests. The Apnea Test (AT) is a more significant procedure in diagnosing BD. Unfortunately, complications during this procedure can occur more frequently than documented, and its incidence is limited to case reports. However, most critical care physicians and Cardio-respiratory therapists consider an AT a principal method to confirm BD as it provides decisive information about the definitive loss of brainstem function. Here, we describe the execution of the AT procedure that transpired into extensive subcutaneous emphysema, tension pneumothorax, and pneumoperitoneum followed by pulseless electrical activity due to direct airway perforation by the supplemental oxygen catheter. In addition, we do a literature review on airway complications incidence and suggest methods to avoid such fatal complications. Finally, further prospective studies are recommended to evaluate the barotrauma incidence and complication nature during AT.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
呼吸暂停试验致短颈肥胖受试者气压创伤1例
死亡对于这个宇宙中的所有生物来说都是一个必然的事件。根据美国神经病学学会(AAN)的建议,脑死亡(BD)的临床诊断包括多个测试序列。呼吸暂停试验(AT)是诊断BD的一个更重要的程序。不幸的是,该程序中的并发症可能比记录的更频繁,其发生率仅限于病例报告。然而,大多数重症监护医生和心肺治疗师认为AT是确认BD的主要方法,因为它提供了有关脑干功能最终丧失的决定性信息。在这里,我们描述了AT手术的实施,该手术发展为广泛的皮下气肿、张力性肺气肿和气腹,随后由于补充氧气导管直接穿孔导致无脉冲电活动。此外,我们对气道并发症的发生率进行了文献综述,并提出了避免此类致命并发症的方法。最后,建议进行进一步的前瞻性研究,以评估AT期间气压性创伤的发生率和并发症的性质。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
BioMedicine-Taiwan
BioMedicine-Taiwan MEDICINE, GENERAL & INTERNAL-
CiteScore
2.80
自引率
5.90%
发文量
21
审稿时长
24 weeks
期刊最新文献
Acute kidney injury induced lithium toxicity with concomitant neuroleptic malignant syndrome. Effect of Mucuna pruriens seed extract on depression-like behavior derived from mild traumatic brain injury in rats. Effect of alantolactones on cardiac parameters of animals under artificially induced oxidative stress. Effect of inulin from dahlia tubers (Dahlia variabilis) extract on insulitis severity and insulin expression in diabetic rats. Loss of tyrosine 211 phosphorylation of proliferating cell nuclear antigen (PCNA) enhances postnatal mammary gland development.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1