[Giant subcutaneous emphysema, pneumothorax and pneumomediastinum occurring in a 4-month-old infant recovering from anesthesia following surgery of a cleft palate].
The authors mention the case of pneumomediastinum and major cervico-facial-thoracic subcutaneous emphysema in a 4 month baby recovering from early surgery for a cleft palate, caused by a barotrauma (positive, pressure ventilation). After an emergency draining of the two pneumothorax, the situation evolved quickly, favourably and with no after effects whatsoever. They insist on the necessity of a rapid diagnosis concerning this rare complication (which can quickly evolve dramatically) and on the importance of pediatric anesthesia facilities.
Guyot
E
E
Département d'Anesthésie-Réanimation CHRU, Reims.
Brodier
C
C
Forestier
M
M
Chauvet
P
P
Chemla
C
C
Poret
S
S
Rendoing
J
J
D000762:Anesthesia Recovery Period; D002972:Cleft Palate / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D008478:Mediastinal Emphysema / Q000209:etiology*; D011030:Pneumothorax / Q000209:etiology*; D011175:Positive-Pressure Respiration / Q000009:adverse effects*; D013352:Subcutaneous Emphysema / Q000209:etiology*
Emphysème sous-cutané géant, pneumothorax et pneumomédiastin survenus au réveil d'un nourrisson de 4 mois opéré pour division palatine.