scholarly journals Hydropneumopericardium: A rare complication of pericardiocentesis

2021 ◽  
Vol 34 ◽  
pp. 158-160
Author(s):  
SHWETA VOHRA ◽  
AKSHYAYA PRADHAN ◽  
PRAVESH VISHWAKARMA ◽  
RISHI SETHI
Keyword(s):  
Positive Pressure Ventilation ◽  
Rare Complication ◽  
Drainage System ◽  
Healthy Adults ◽  
Fistula Formation ◽  
Positive Pressure ◽  
Pericardial Cavity ◽  
Subxiphoid Approach ◽  
Temporary Relief ◽  
Avoidable Complication

Hydropneumopericardium is defined as the presence of air and water in the pericardial cavity. Several causes have been postulated which can lead to hydropneumopericardium including trauma, infections secondary to gas-producing bacilli, fistula formation, positive pressure ventilation or even spontaneously without an underlying cause in healthy adults and rarely after pericardiocentesis. We report an uncommon instance of hydropneumopericardium after pericardiocentesis in a 35-year-old man, which developed due to a leaky drainage system. It was immediately drained through the subxiphoid approach under echocardiographic guidance, and the patient was relieved. Hydropneumopericardium is an uncommon but easily diagnosable and avoidable complication of pericardiocentesis. It should be suspected whenever the patient develops increasing dyspnoea following a temporary relief by pericardiocentesis.

scholarly journals Non-Cardiogenic Pulmonary Oedema Following the Use of Gadolinium-Based Contrast Medium: A Case Report

2020 ◽  
Vol 6 (3) ◽  
pp. 181-185
Author(s):  
Chilan Nguyen ◽  
Tho Pham
Keyword(s):  
Pulmonary Oedema ◽  
Positive Pressure Ventilation ◽  
Rare Complication ◽  
Positive Pressure ◽  
Cardiogenic Pulmonary Oedema ◽  
Contrast Administration ◽  
Prompt Treatment ◽  
Appropriate Treatment ◽  
Life Threatening ◽  
Life Threatening Complication

AbstractNon-cardiogenic pulmonary oedema can be life threatening and requires prompt treatment. While gadolinium-based contrast is generally considered safe with a low risk of severe side effects, non-cardiogenic pulmonary oedema has become increasingly recognised as a rare, but possibly life-threatening complication. We present a case of a usually well, young 23-year-old female who developed non-cardiogenic pulmonary oedema with a moderate oxygenation impairment and no mucosal or cutaneous features of anaphylaxis following the administration of gadolinium-based contrast. She did not respond to treatment of anaphylaxis but made a rapid recovery following the commencement of positive pressure ventilation. Our case highlights the importance of recognising the rare complication of non-cardiogenic pulmonary oedema following gadolinium-based contrast administration in order to promptly implement the appropriate treatment.

scholarly journals A case of spontaneous pneumomediastinum in a patient with severe SARS-CoV-2 and a review of the literature

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110100
Author(s):  
Duong T Hua ◽  
Farah Shah ◽  
Cherlyn Perez-Corral
Keyword(s):  
Subcutaneous Emphysema ◽  
Lung Diseases ◽  
Illicit Drugs ◽  
Positive Pressure Ventilation ◽  
Rare Complication ◽  
Positive Pressure ◽  
Chest Imaging ◽  
Shortness Of Breath ◽  
Spontaneous Pneumomediastinum ◽  
Hypoxic Respiratory Failure

Spontaneous pneumomediastinum is defined as having an etiology that is not related to surgery, trauma, or mechanical ventilation. Precipitating causes of spontaneous pneumomediastinum include coughing, exercise, vomiting, infection, underlying lung diseases such as asthma, and illicit drugs. Symptoms include chest pain, shortness of breath, and dysphagia. A 54-year-old man presented with 2 weeks of shortness of breath, cough, and fever. He was admitted for severe SARS-CoV-2 pneumonia and acute hypoxic respiratory failure requiring non-rebreather mask. Chest imaging on admission showed bilateral peripheral consolidations and pneumomediastinum with subcutaneous emphysema. No precipitating event was identified. He did not require initiation of positive pressure ventilation throughout his admission. On hospital day 7, chest imaging showed resolution of pneumomediastinum and subcutaneous emphysema, and he was successfully discharged on oxygen therapy. Spontaneous pneumomediastinum is a rare complication of severe acute respiratory syndrome coronavirus 2 infection. Spontaneous pneumomediastinum is typically benign and self-limiting, requiring only supportive treatment.

scholarly journals Systemic Air Embolism Associated with Pleural Pigtail Chest Tube Insertion

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Emad Alkhankan ◽  
Ahmad Nusair ◽  
Rida Mazagri ◽  
Mohammed Al-Ourani
Keyword(s):  
Airway Pressure ◽  
Positive Pressure Ventilation ◽  
Positive Airway Pressure ◽  
Rare Complication ◽  
Air Embolism ◽  
Positive Pressure ◽  
Pigtail Catheter ◽  
Tube Insertion ◽  
Systemic Air Embolism ◽  
The Right

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.

Isolated pneumopericardium caused by positive pressure ventilation: A rare complication

2018 ◽  
Vol 49 ◽  
pp. 5-6
Author(s):  
Pradipta Bhakta ◽  
John Richard McNamara ◽  
Brian O'Brien ◽  
Robert Plant
Keyword(s):  
Positive Pressure Ventilation ◽  
Rare Complication ◽  
Positive Pressure

scholarly journals Prone Position as a Life-saving Measure for Acute Pulmonary Haemorrhage in a Young Adult with Cystic Fibrosis

2002 ◽  
Vol 30 (2) ◽  
pp. 223-225 ◽  
Author(s):  
R. Savage
Keyword(s):  
Cystic Fibrosis ◽  
Positive Pressure Ventilation ◽  
Rare Complication ◽  
Anaesthetic Techniques ◽  
Pulmonary Haemorrhage ◽  
Positive Pressure ◽  
Successful Management ◽  
Life Saving ◽  
Life Threatening ◽  
Saving Measure

Fatal pulmonary haemorrhage is a rare complication of cystic fibrosis. A case of unexpected life-threatening pulmonary haemorrhage is presented, and the successful management of this problem including immediate prone ventilation. Different anaesthetic techniques, avoiding endotracheal intubation and positive pressure ventilation, which may avoid similar complications, are described.

scholarly journals S1694 Colonic Ileus: A Rare Complication of Positive Pressure Ventilation

2020 ◽  
Vol 115 (1) ◽  
pp. S871-S872
Author(s):  
Cheng-Hung Tai ◽  
Megan Buckley ◽  
Connie Park ◽  
Caleb Wutawunashe ◽  
Hannah Freyle
Keyword(s):  
Positive Pressure Ventilation ◽  
Rare Complication ◽  
Positive Pressure
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