Systemic Air Embolism Associated with Pleural Pigtail Chest Tube Insertion

Pleural pigtail catheter placement is associated with many complications including pneumothorax, hemorrhage, and chest pain. Air embolism is a known but rare complication of pleural pigtail catheter insertion and has a high risk of occurrence with positive pressure ventilation. In this case report, we present a 50-year-old male with bilateral pneumonia who developed a pneumothorax while on mechanical ventilation with continuous positive airway pressure mode. During the placement of the pleural pigtail catheter to correct the pneumothorax, the patient developed a sudden left sided body weakness and became unresponsive. An air embolism was identified in the right main cerebral artery, which was fatal.

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Oxygenation failure after cardiac operations: early re-intubation versus treatment by nasal continuous positive airway pressure (nCPAP) or non-invasive positive pressure ventilation (NPPV)

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-2006-925712 ◽

2006 ◽

Vol 54 (S 1) ◽

Author(s):

U Boeken ◽

P Feindt ◽

J Litmathe ◽

M Kurt ◽

E Gams

Keyword(s):

Continuous Positive Airway Pressure ◽

Airway Pressure ◽

Positive Pressure Ventilation ◽

Positive Airway Pressure ◽

Positive Pressure ◽

Non Invasive ◽

Versus Treatment ◽

Cardiac Operations

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Nasal Intermittent Positive Pressure Ventilation versus Continuous Positive Airway Pressure and Apnea of Prematurity: A Systematic Review and Meta-Analysis

American Journal of Perinatology ◽

10.1055/s-0040-1722337 ◽

2021 ◽

Author(s):

Bayane Sabsabi ◽

Ava Harrison ◽

Laura Banfield ◽

Amit Mukerji

Keyword(s):

Systematic Review ◽

Continuous Positive Airway Pressure ◽

Airway Pressure ◽

Primary Outcome ◽

Positive Pressure Ventilation ◽

Positive Airway Pressure ◽

Meta Analysis ◽

Intermittent Positive Pressure Ventilation ◽

Positive Pressure ◽

Apnea Of Prematurity

Objective The study aimed to systematically review and analyze the impact of nasal intermittent positive pressure ventilation (NIPPV) versus continuous positive airway pressure (CPAP) on apnea of prematurity (AOP) in preterm neonates. Study Design In this systematic review and meta-analysis, experimental studies enrolling preterm infants comparing NIPPV (synchronized, nonsynchronized, and bi-level) and CPAP (all types) were searched in multiple databases and screened for the assessment of AOP. Primary outcome was AOP frequency per hour (as defined by authors of included studies). Results Out of 4,980 articles identified, 18 studies were included with eight studies contributing to the primary outcome. All studies had a high risk of bias, with significant heterogeneity in definition and measurement of AOP. There was no difference in AOPs per hour between NIPPV versus CPAP (weighted mean difference = −0.19; 95% confidence interval [CI]: −0.76 to 0.37; eight studies, 456 patients). However, in a post hoc analysis evaluating the presence of any AOP (over varying time periods), the pooled odds ratio (OR) was lower with NIPPV (OR: 0.46; 95% CI: 0.32–0.67; 10 studies, 872 patients). Conclusion NIPPV was not associated with decrease in AOP frequency, although demonstrated lower odds of developing any AOP. However, definite recommendations cannot be made based on the quality of the published evidence. Key Points

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