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ID 60813
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Tani, Makiko Department of Anesthesiology and Resuscitology, Graduate School of Medicine Dentistry and Pharmaceutical Sciences
Kanazawa, Tomoyuki Department of Anesthesiology and Resuscitology, Okayama University Hospital
Shioji, Naohiro Department of Anesthesiology and Resuscitology, Okayama University Hospital
Shimizu, Kazuyoshi Department of Anesthesiology and Resuscitology, Graduate School of Medicine Dentistry and Pharmaceutical Sciences ORCID Kaken ID publons researchmap
Iwasaki, Tatsuo Department of Anesthesiology and Resuscitology, Okayama University Hospital Kaken ID publons
Morimatsu, Hiroshi Department of Anesthesiology and Resuscitology, Graduate School of Medicine Dentistry and Pharmaceutical Sciences ORCID Kaken ID publons researchmap
Abstract
Background Pneumopericardium in neonates is often associated with respiratory diseases, of which positive pressure ventilation (PPV) is an exacerbating factor. Here, we present a neonate case of pneumopericardium after cardiac surgery which was resolved after applying PPV. Case presentation A 28-day-old neonate with left recurrent nerve palsy after aortic reconstruction for interrupted aortic arch developed pericardial effusion. Pericardiocentesis was performed under general anesthesia, and a drainage tube was left in the pericardium. After extubation, stridor gradually exacerbated, following hemodynamic deterioration. A chest X-ray demonstrated pneumopericardium. Upper airway stenosis due to recurrent nerve palsy developed excessive negative pleural pressure, and air was drawn into pericardium via the insertion site of the drainage tube. After tracheal intubation and applying PPV, the pneumopericardium improved. Conclusion PPV does not always exacerbate pneumopericardium. In a patient with pericardial-atmosphere communication, increased inspiration effort can cause pneumopericardium, and PPV is a therapeutic option to alleviate the pneumopericardium.
Keywords
Pneumopericardium
Pericardiocentesis
Recurrent nerve palsy
Pleural pressure
Positive pressure ventilation
Published Date
2020-10-07
Publication Title
JA Clinical Reports
Volume
volume6
Issue
issue1
Publisher
Springer
Start Page
79
ISSN
2363-9024
Content Type
Journal Article
language
英語
OAI-PMH Set
岡山大学
Copyright Holders
© The Author(s). 2020
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isVersionOf https://doi.org/10.1186/s40981-020-00384-x
License
http://creativecommons.org/licenses/by/4.0/