Tension pneumopericardium following tracheoplasty for congenital tracheal stenosis.
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.
Sugimoto
M
M
Intensive Care Unit, Osaka University Hospital, Japan.
Shimaoka
M
M
Hagihira
S
S
Fujino
Y
Y
Nishimura
S
S
Kamata
S
S
Taenaka
N
N
Yoshiya
I
I
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