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A rare cause of ventilatory failure in a patient with post-traumatic intracranial hemorrhage
High minute ventilation is required to lower intracranial pressures in patients with intracranial bleed. Respiratory acidemia consequent to ventilatory difficulty is dangerous in such patients as it further raises intracranial tension. We describe such a case. A 24-year-old man had to be intubated a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5504901/ https://www.ncbi.nlm.nih.gov/pubmed/28671175 http://dx.doi.org/10.4103/0970-2113.209246 |
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author | Thangakunam, Balamugesh Bal, Shakti Kumar Venkatapathy, Ajay V Irodi, Aparna Christopher, Devasahayam Jesudas |
author_facet | Thangakunam, Balamugesh Bal, Shakti Kumar Venkatapathy, Ajay V Irodi, Aparna Christopher, Devasahayam Jesudas |
author_sort | Thangakunam, Balamugesh |
collection | PubMed |
description | High minute ventilation is required to lower intracranial pressures in patients with intracranial bleed. Respiratory acidemia consequent to ventilatory difficulty is dangerous in such patients as it further raises intracranial tension. We describe such a case. A 24-year-old man had to be intubated and mechanically ventilated after he met with a road traffic accident and sustained extensive maxillofacial injuries and intracranial bleed. A tooth was accidentally aspirated in this injury and progressively resulted in left lower lobe collapse, pneumomediastinum, and consequent difficult ventilation. Under video bronchoscope guidance, the tooth was removed with grasping forceps. Pneumomediastinum temporarily increased after the tooth removal, but by 12 h postextraction, resolution of both the pneumomediastinum and left lower lobe collapse was observed. There was a 17 h delay postadmission before the cause of ventilatory failure was realized. Aspiration of foreign bodies, in general, and teeth, in particular, should be actively looked for in patients with ventilatory difficulties in the post-trauma setting. |
format | Online Article Text |
id | pubmed-5504901 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-55049012017-07-12 A rare cause of ventilatory failure in a patient with post-traumatic intracranial hemorrhage Thangakunam, Balamugesh Bal, Shakti Kumar Venkatapathy, Ajay V Irodi, Aparna Christopher, Devasahayam Jesudas Lung India Case Report High minute ventilation is required to lower intracranial pressures in patients with intracranial bleed. Respiratory acidemia consequent to ventilatory difficulty is dangerous in such patients as it further raises intracranial tension. We describe such a case. A 24-year-old man had to be intubated and mechanically ventilated after he met with a road traffic accident and sustained extensive maxillofacial injuries and intracranial bleed. A tooth was accidentally aspirated in this injury and progressively resulted in left lower lobe collapse, pneumomediastinum, and consequent difficult ventilation. Under video bronchoscope guidance, the tooth was removed with grasping forceps. Pneumomediastinum temporarily increased after the tooth removal, but by 12 h postextraction, resolution of both the pneumomediastinum and left lower lobe collapse was observed. There was a 17 h delay postadmission before the cause of ventilatory failure was realized. Aspiration of foreign bodies, in general, and teeth, in particular, should be actively looked for in patients with ventilatory difficulties in the post-trauma setting. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5504901/ /pubmed/28671175 http://dx.doi.org/10.4103/0970-2113.209246 Text en Copyright: © 2017 Indian Chest Society http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Thangakunam, Balamugesh Bal, Shakti Kumar Venkatapathy, Ajay V Irodi, Aparna Christopher, Devasahayam Jesudas A rare cause of ventilatory failure in a patient with post-traumatic intracranial hemorrhage |
title | A rare cause of ventilatory failure in a patient with post-traumatic intracranial hemorrhage |
title_full | A rare cause of ventilatory failure in a patient with post-traumatic intracranial hemorrhage |
title_fullStr | A rare cause of ventilatory failure in a patient with post-traumatic intracranial hemorrhage |
title_full_unstemmed | A rare cause of ventilatory failure in a patient with post-traumatic intracranial hemorrhage |
title_short | A rare cause of ventilatory failure in a patient with post-traumatic intracranial hemorrhage |
title_sort | rare cause of ventilatory failure in a patient with post-traumatic intracranial hemorrhage |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5504901/ https://www.ncbi.nlm.nih.gov/pubmed/28671175 http://dx.doi.org/10.4103/0970-2113.209246 |
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