Title: Bilateral pneumothorax, pneumomediastinum and subcutaneous emphysema following functional endoscopic sinus surgery under general anaesthesia - A case report
Authors: Aswani B, Anand S, Amarnath Moni, Lailu Mathews
DOI: https://dx.doi.org/10.18535/jmscr/v8i2.160
Abstract
Negative pressure pulmonary edema (NPPE) is defined as fluid transudation into the pulmonary interstitium which occurs as a result of elevated negative intrathoracic pressure caused by the upper respiratory tract obstruction and strong inspiratory effort. NPPE is usually seen during emergence from general anesthesia in the early post-operative period. The occurrences of pneumothorax and pneumomediastinum are rare, but considered to be potentially life-threatening in patients undergoing functional endoscopic sinus surgery under general anesthesia. The early detection and treatment is vital to patient outcome. We report the case of a 25-year old male who developed massive bilateral pneumothorax and pneumomediastinum after functional endoscopic sinus surgery under general anesthesia.
Keywords: Pneumomediastinum, Pneumothorax, Negative pressure pulmonary edema, Endoscopic sinus surgery
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