Pulmonary complications following endotracheal intubation for anesthesia in breech extraction.
A 28-year-old, healthy pregnant patient developed bilateral pneumothorax, subcutaneous emphysema, pneumomediastinum, pneumoretroperitoneum and pneumoperitoneum following endotracheal intubation and manual ventilation during general anesthesia for breech extraction. It is likely that positive-pressure ventilation was the cause for this very rare combination of complications. Early recognition and treatment may prevent such a catastrophe.
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D001946:Breech Presentation; D004646:Emphysema / Q000209:etiology*; D005113:Extraction, Obstetrical; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008478:Mediastinal Emphysema / Q000209:etiology*; D011027:Pneumoperitoneum / Q000209:etiology*; D011030:Pneumothorax / Q000209:etiology*; D011175:Positive-Pressure Respiration / Q000009:adverse effects*; D011247:Pregnancy; D011272:Pregnancy, Multiple; D012188:Retropneumoperitoneum / Q000209:etiology*; D013352:Subcutaneous Emphysema / Q000209:etiology*