[Pneumomediastinum and bilateral tension pneumothorax as a complication of oxygen therapy using a nasal cannula].
We report the case of a patient who developed a subcutaneous and submucosal emphysema in association with a pneumomediastinum, a bilateral pneumothorax and a pneumoperitoneum. This complication was secondary to oxygen supply via a nasal cannula, which allowed a wrong submucosal pathway previously, created by the traumatic placement of a nasogastric tube. The evolution was uneventful. We comment the pathophysiological mechanism of such a complication and propose simple actions to prevent the reproduction.
Département d'anesthésie, Polyclinique Saint-Joseph, 13, rue Vacheress, 77400 Lagny-sur-Marne, France. ecesareo@invivo.edu
E
E
Cesareo
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P
Leroy
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R
Charron
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M
Noel
F
F
Angenard
D001007:Anxiety / Q000503:physiopathology; D001999:Bronchoscopy; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007441:Intubation, Gastrointestinal; D008478:Mediastinal Emphysema / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D008875:Middle Aged; D009297:Nasal Mucosa / Q000473:pathology; D010102:Oxygen Inhalation Therapy / Q000009:adverse effects*; D011030:Pneumothorax / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology