title: Tension pneumopericardium following tracheoplasty for congenital tracheal stenosis.
abstract: Tension pneumopericardium is a rare complication of mechanical ventilation following tracheoplasty for congenital tracheal stenosis. This case report describes fatal tension pneumopericardium in a three-month-old male infant some 24 hours following tracheoplasty for this condition. Because of persisting stenosis of the left main bronchus, ventilation pressures of PIP 23 cm H2O and PEEP 5 cm, progressing to PIP 28 cm and PEEP 7 cm were needed to maintain adequate respiratory exchange. Partial relief of the pneumopericardium was achieved by vigorous cardiac massage, but three days later the infant died of massive airway haemorrhage.
authors.affiliation: Intensive Care Unit, Osaka University Hospital, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Sugimoto
authors.forename: M
authors.initials: M
authors.lastname: Shimaoka
authors.forename: S
authors.initials: S
authors.lastname: Hagihira
authors.forename: Y
authors.initials: Y
authors.lastname: Fujino
authors.forename: S
authors.initials: S
authors.lastname: Nishimura
authors.forename: S
authors.initials: S
authors.lastname: Kamata
authors.forename: N
authors.initials: N
authors.lastname: Taenaka
authors.forename: I
authors.initials: I
authors.lastname: Yoshiya
mesh_terms: D000142:Acidosis, Respiratory / Q000209:etiology; D000402:Airway Obstruction / Q000209:etiology; D001982:Bronchial Diseases / Q000209:etiology; D004487:Edema / Q000209:etiology; D015199:Extracorporeal Membrane Oxygenation; D017809:Fatal Outcome; D006336:Heart Massage; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007223:Infant; D008297:Male; D011026:Pneumopericardium / Q000209:etiology*; D011175:Positive-Pressure Respiration / Q000009:adverse effects; D011312:Pressure; D011659:Pulmonary Gas Exchange; D019651:Plastic Surgery Procedures; D012121:Respiration, Artificial / Q000009:adverse effects; D014132:Trachea / Q000601:surgery*; D014133:Tracheal Diseases / Q000209:etiology; D014135:Tracheal Stenosis / Q000151:congenital* / Q000601:surgery