大量皮下肺气肿和双侧张力性气胸经气道交换导管补充供氧后:1例报告

A. Hulst, Hans J. Avis, M. Hollmann, M. Stevens
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引用次数: 3

摘要

一个病人在接受气道交换导管(AEC)补充氧气后出现大量皮下肺气肿和双侧紧张性气胸。AEC放置的并发症包括放置不当,直接损伤喉、支气管或肺,与氧气补充相关的气压损伤,以及气道丢失。我们回顾了这些并发症,并讨论了使用AEC补充氧气的具体风险。我们建议采取措施限制来自氧气源的压力,并警告不要将AEC推进到气管支气管树中太远。
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Massive Subcutaneous Emphysema and Bilateral Tension Pneumothoraces After Supplemental Oxygen Delivery via an Airway Exchange Catheter: A Case Report
A patient suffered massive subcutaneous emphysema and bilateral tension pneumothoraces after receiving supplemental oxygen through an airway exchange catheter (AEC). Complications of AEC placement include misplacement, direct injury to the larynx, bronchi or lung, barotrauma related to oxygen supplementation, and a loss of airway. We review these complications and discuss the specific risks of supplementing oxygen using an AEC. We suggest measures to limit pressure from the oxygen source and warn against advancing an AEC too far into the tracheobronchial tree.
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