Cargando…
Immediate pneumothorax after neurosurgical procedures
OBJECTIVE: Pneumothorax after neurosurgical procedures is very rare and incompletely understood. This study was performed to explore the clinical characteristics and pathogenesis of pneumothorax after neurosurgery. METHODS: We retrospectively evaluated patients admitted from December 2016 to April 2...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727070/ https://www.ncbi.nlm.nih.gov/pubmed/33290119 http://dx.doi.org/10.1177/0300060520976496 |
_version_ | 1783621024052412416 |
---|---|
author | Zhang, Jinzhu Xu, Kan Chen, Xuan Qi, Bin Hou, Kun Yu, Jinlu |
author_facet | Zhang, Jinzhu Xu, Kan Chen, Xuan Qi, Bin Hou, Kun Yu, Jinlu |
author_sort | Zhang, Jinzhu |
collection | PubMed |
description | OBJECTIVE: Pneumothorax after neurosurgical procedures is very rare and incompletely understood. This study was performed to explore the clinical characteristics and pathogenesis of pneumothorax after neurosurgery. METHODS: We retrospectively evaluated patients admitted from December 2016 to April 2019 for treatment of spontaneous intracranial hemorrhage. The inclusion criteria were neurosurgical procedures (open surgeries or endovascular intervention) performed under general anesthesia, no performance of central venous puncture during surgery, and occurrence of pneumothorax immediately after the neurosurgical procedure. RESULTS: Eight patients developed pneumothorax after neurosurgical procedures for spontaneous intracranial hemorrhage under general anesthesia. Of the eight patients, seven had aneurysmal subarachnoid hemorrhage and one had left temporal–parietal hemorrhage. The lung injury prediction score (LIPS) was 3, 4, 5, 6, and 9.5 in three, one, two, one, and one patient, respectively. During the operation, volume-controlled ventilation (tidal volume, 8–10 mL/kg) was selected for all patients. CONCLUSIONS: Neurogenic pulmonary edema, inappropriate mechanical ventilation, and stimulation by endotracheal intubation might conjointly contribute to postoperative pneumothorax. To avoid this rare entity, mechanical ventilation with a low tidal volume or low pressure during general anesthesia should be adopted for patients with hemorrhagic cerebrovascular diseases involving the temporal lobe and a LIPS of >3. |
format | Online Article Text |
id | pubmed-7727070 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-77270702020-12-18 Immediate pneumothorax after neurosurgical procedures Zhang, Jinzhu Xu, Kan Chen, Xuan Qi, Bin Hou, Kun Yu, Jinlu J Int Med Res Retrospective Clinical Research Report OBJECTIVE: Pneumothorax after neurosurgical procedures is very rare and incompletely understood. This study was performed to explore the clinical characteristics and pathogenesis of pneumothorax after neurosurgery. METHODS: We retrospectively evaluated patients admitted from December 2016 to April 2019 for treatment of spontaneous intracranial hemorrhage. The inclusion criteria were neurosurgical procedures (open surgeries or endovascular intervention) performed under general anesthesia, no performance of central venous puncture during surgery, and occurrence of pneumothorax immediately after the neurosurgical procedure. RESULTS: Eight patients developed pneumothorax after neurosurgical procedures for spontaneous intracranial hemorrhage under general anesthesia. Of the eight patients, seven had aneurysmal subarachnoid hemorrhage and one had left temporal–parietal hemorrhage. The lung injury prediction score (LIPS) was 3, 4, 5, 6, and 9.5 in three, one, two, one, and one patient, respectively. During the operation, volume-controlled ventilation (tidal volume, 8–10 mL/kg) was selected for all patients. CONCLUSIONS: Neurogenic pulmonary edema, inappropriate mechanical ventilation, and stimulation by endotracheal intubation might conjointly contribute to postoperative pneumothorax. To avoid this rare entity, mechanical ventilation with a low tidal volume or low pressure during general anesthesia should be adopted for patients with hemorrhagic cerebrovascular diseases involving the temporal lobe and a LIPS of >3. SAGE Publications 2020-12-08 /pmc/articles/PMC7727070/ /pubmed/33290119 http://dx.doi.org/10.1177/0300060520976496 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Retrospective Clinical Research Report Zhang, Jinzhu Xu, Kan Chen, Xuan Qi, Bin Hou, Kun Yu, Jinlu Immediate pneumothorax after neurosurgical procedures |
title | Immediate pneumothorax after neurosurgical procedures |
title_full | Immediate pneumothorax after neurosurgical procedures |
title_fullStr | Immediate pneumothorax after neurosurgical procedures |
title_full_unstemmed | Immediate pneumothorax after neurosurgical procedures |
title_short | Immediate pneumothorax after neurosurgical procedures |
title_sort | immediate pneumothorax after neurosurgical procedures |
topic | Retrospective Clinical Research Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727070/ https://www.ncbi.nlm.nih.gov/pubmed/33290119 http://dx.doi.org/10.1177/0300060520976496 |
work_keys_str_mv | AT zhangjinzhu immediatepneumothoraxafterneurosurgicalprocedures AT xukan immediatepneumothoraxafterneurosurgicalprocedures AT chenxuan immediatepneumothoraxafterneurosurgicalprocedures AT qibin immediatepneumothoraxafterneurosurgicalprocedures AT houkun immediatepneumothoraxafterneurosurgicalprocedures AT yujinlu immediatepneumothoraxafterneurosurgicalprocedures |