Local anesthesia infiltration as a cause of intraoperative tension pneumothorax in a young healthy woman undergoing breast augmentation with general anesthesia.
Abstract
Pneumothorax may be a medical emergency. Iatrogenic pneumothorax is more common than all other forms of spontaneous pneumothorax, and surgical procedures involving the breast are a frequent setting for this. A 32-year-old, 60 kg, woman without any significant medical history underwent a bilateral breast augmentation and rhinoplasty. She underwent a routine general endotracheal anesthetic. Prior to surgical incision, the surgeon infiltrated the breast with lidocaine with epinephrine. Six hours into the surgical procedure, the patient developed hemodynamic compromise and was diagnosed with tension pneumothorax, which was treated emergently with a 14-gauge angiocatheter placed intrapleurally. The patient immediately returned to hemodynamic stability. This case report discusses iatrogenic pneumothoraces as well their most likely causes; which in this specific case was the injection of local anesthetic. Suggestions for prevention and treatment of the unusual complication are discussed.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | breast
|
유방 | dict | 4 | |
| 시술 | breast augmentation
|
유방성형술 | dict | 2 | |
| 시술 | rhinoplasty
|
코성형술 | dict | 1 | |
| 해부 | anesthesia
|
scispacy | 1 | ||
| 해부 | endotracheal
|
scispacy | 1 | ||
| 약물 | lidocaine
|
리도카인 | dict | 1 | |
| 약물 | epinephrine
|
에피네프린 | dict | 1 | |
| 질환 | pneumothorax
|
C0032326
Pneumothorax
|
scispacy | 1 | |
| 질환 | pneumothoraces
|
scispacy | 1 | ||
| 기타 | patient
|
scispacy | 1 |
MeSH Terms
Adult; Anesthesia, Endotracheal; Anesthesia, General; Anesthetics, Local; Blood Pressure; Catheterization; Epinephrine; Female; Heart Rate; Humans; Iatrogenic Disease; Intraoperative Complications; Lidocaine; Mammaplasty; Oxygen; Pleura; Pneumothorax; Rhinoplasty; Subcutaneous Emphysema; Vasoconstrictor Agents
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