Hyperbaric oxygen therapy in the treatment of pneumocephalus associated with epidural block: case report

INTRODUCTION: Pneumocephalus is a rare neuraxial blockade complication, which can be associated with severe neurologic changes. CLINICAL CASE: A 51-year-old patient was submitted to left total knee arthroplasty. Postoperatively, a pneumocephalus associated with decreased consciousness was diagnosed...

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Autores principales: Castedo, João, Ferreira, António Pedro, Camacho, Óscar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373555/
https://www.ncbi.nlm.nih.gov/pubmed/33957186
http://dx.doi.org/10.1016/j.bjane.2021.02.058
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author Castedo, João
Ferreira, António Pedro
Camacho, Óscar
author_facet Castedo, João
Ferreira, António Pedro
Camacho, Óscar
author_sort Castedo, João
collection PubMed
description INTRODUCTION: Pneumocephalus is a rare neuraxial blockade complication, which can be associated with severe neurologic changes. CLINICAL CASE: A 51-year-old patient was submitted to left total knee arthroplasty. Postoperatively, a pneumocephalus associated with decreased consciousness was diagnosed as a complication of the epidural analgesia. The treatment used was Hyperbaric Oxygen Therapy (HBOT) due to the severity of symptoms. Just after one session of HBOT, there was nearly full pneumocephalus resorption and significant clinical recovery. CONCLUSION: This case report enables anesthesiologists to recognize HBOT as a therapeutic option to be considered when treating severe cases of pneumocephalus.
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spelling pubmed-93735552022-08-15 Hyperbaric oxygen therapy in the treatment of pneumocephalus associated with epidural block: case report Castedo, João Ferreira, António Pedro Camacho, Óscar Braz J Anesthesiol Case Reports INTRODUCTION: Pneumocephalus is a rare neuraxial blockade complication, which can be associated with severe neurologic changes. CLINICAL CASE: A 51-year-old patient was submitted to left total knee arthroplasty. Postoperatively, a pneumocephalus associated with decreased consciousness was diagnosed as a complication of the epidural analgesia. The treatment used was Hyperbaric Oxygen Therapy (HBOT) due to the severity of symptoms. Just after one session of HBOT, there was nearly full pneumocephalus resorption and significant clinical recovery. CONCLUSION: This case report enables anesthesiologists to recognize HBOT as a therapeutic option to be considered when treating severe cases of pneumocephalus. Elsevier 2021-05-03 /pmc/articles/PMC9373555/ /pubmed/33957186 http://dx.doi.org/10.1016/j.bjane.2021.02.058 Text en © 2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Reports
Castedo, João
Ferreira, António Pedro
Camacho, Óscar
Hyperbaric oxygen therapy in the treatment of pneumocephalus associated with epidural block: case report
title Hyperbaric oxygen therapy in the treatment of pneumocephalus associated with epidural block: case report
title_full Hyperbaric oxygen therapy in the treatment of pneumocephalus associated with epidural block: case report
title_fullStr Hyperbaric oxygen therapy in the treatment of pneumocephalus associated with epidural block: case report
title_full_unstemmed Hyperbaric oxygen therapy in the treatment of pneumocephalus associated with epidural block: case report
title_short Hyperbaric oxygen therapy in the treatment of pneumocephalus associated with epidural block: case report
title_sort hyperbaric oxygen therapy in the treatment of pneumocephalus associated with epidural block: case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373555/
https://www.ncbi.nlm.nih.gov/pubmed/33957186
http://dx.doi.org/10.1016/j.bjane.2021.02.058
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AT camachooscar hyperbaricoxygentherapyinthetreatmentofpneumocephalusassociatedwithepiduralblockcasereport

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