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Lung mechanics with tension pneumothorax during mechanical ventilation

Lung mechanics with tension pneumothorax during mechanical ventilation,10.1007/s0054010050177,Journal of Anesthesia,Masahiko Mima,Kazufusa Sakata,Heij

Lung mechanics with tension pneumothorax during mechanical ventilation  
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The placement of a Swan-Ganz catheter via internal jugular vein subcutaneously is a commonly used technique for evaluating hemodynamic status in patients undergoing major surgery. The tension pneumothorax is one of the most serious complications of internal jugular cannulation, particularly in patients receiving mechanical ventilation. The detection of a tension pneumothorax with the aid of computerized measurement of the airway dynamics has not been previously reported. A 52-year old male was scheduled for hepatectomy. His past medical history was unremarkable and preoperative laboratory studies, physical examination, chest roentgenogram, and electrocardiogram were normal. The patient was classified as ASA physical status 1. Anesthesia was induced with 200 mg of thiopental and the trachea was intubated with the aid of 6 mg of pancuronium. Manual ventilation of the patient's lung was uneventful. In order to obtain hemodynamic parameters Swan-Ganz catheter through internal jugular cannulation was employed. The vein was cannulated from anteriorly 3 em above the right clavicle (supraclavicular approach) with a 7.5 French gauzed catheter. The placement of the catheter was successful on the first attempt and all the values of central venous
Journal: Journal of Anesthesia - J ANESTH , vol. 5, no. 2, pp. 177-179, 1991
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