[Bilateral tension pneumothorax after retrieval of transtracheal jet ventilation catheter].
We report a bilateral tension pneumothorax which occurred in a 36-year-old man after high-frequency jet ventilation (HFJV) for panendoscopy. The patient had been treated with radiotherapy and chemotherapy two years ago for an oropharyngeal adenocarcinoma, and by surgery for a recurrence. The incident occurred after a cough episode triggered by the withdrawal of the Ravussin transtracheal catheter. We are discussing the risk factors and the mechanisms of pneumothorax during HFJV with special emphasis on trapping and lung fibrosis.
Bellemain
A
A
Département d'anesthésie-réanimation-douleur, institut Curie, 26, rue d'Ulm, 75005 Paris, France.
Ghimouz
A
A
Goater
P
P
Lentschener
C
C
Esteve
M
M
D000230:Adenocarcinoma / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery; D000402:Airway Obstruction / Q000150:complications*; D000970:Antineoplastic Agents / Q000627:therapeutic use; D002404:Catheterization; D003131:Combined Modality Therapy; D000075202:Contraindications; D003371:Cough / Q000150:complications; D020878:Device Removal; D006611:High-Frequency Jet Ventilation / Q000295:instrumentation*; D006801:Humans; D000860:Hypoxia / Q000209:etiology; D008207:Lymphatic Metastasis / Q000532:radiotherapy; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D009959:Oropharyngeal Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D011658:Pulmonary Fibrosis / Q000150:complications; D011832:Radiation Injuries / Q000150:complications; D011859:Radiography; D011878:Radiotherapy / Q000009:adverse effects; D012769:Shock / Q000209:etiology; D013352:Subcutaneous Emphysema / Q000209:etiology; D014140:Tracheotomy
D000970:Antineoplastic Agents