Bilateral pneumothorax, pneumomediastinum and subcutaneous emphysema following functional endoscopic sinus surgery under general anaesthesia - A case report

Aswani B, Department of Anaesthesiology, Chettinad Hospital & Research Institute, Chennai, India
2020 Journal of Medical Science And clinical Research  
Negative pressure pulmonary edema (NPPE) is defined as fluid transudation into the pulmonary interstitium which occurs as a result of elevated negative intrathoracic pressure caused by the upper respiratory tract obstruction and strong inspiratory effort. NPPE is usually seen during emergence from general anesthesia in the early post-operative period. The occurrences of pneumothorax and pneumomediastinum are rare, but considered to be potentially life-threatening in patients undergoing
more » ... l endoscopic sinus surgery under general anesthesia. The early detection and treatment is vital to patient outcome. We report the case of a 25-year old male who developed massive bilateral pneumothorax and pneumomediastinum after functional endoscopic sinus surgery under general anesthesia.
doi:10.18535/jmscr/v8i2.160 fatcat:g26q6clyxzepbdhllxjipod3ee