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Case Report
Haichun Ma
Jilin University First Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-2949-3342
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This work is licensed under a CC BY 4.0 License. Read Full License
Background: Simultaneous occurrence of secondary pneumomediastinum and bilateral tension pneumothorax is an uncommon complication of aneurysmal subarachnoid hemorrhage.
Case presentation: In the present study, all five patients were admitted with Hunt and Hess grade IV. Pneumomediastinum and bilateral tension pneumothorax occurred simultaneously after clipping or embolization. Tube thoracostomy and underwater sealed drainage were performed to improve oxygen saturation and hemodynamics. Of five patients, one was decided to cease treatment on the first day after surgery, three patients achieved good recovery, and one patient suffered serious disability.
Conclusions: Anesthesiologists should be aware of pneumomediastinum and bilateral tension pneumothorax occurring after surgical or neurointerventional treatment in subarachnoid hemorrhage patients with poor Hunt and Hess grade. Timely diagnosis and chest tube insertion were extremely crucial in the treatment of these patients.
Keywords: Secondary pneumomediastinum; Bilateral tension pneumothorax; Aneurysmal subarachnoid hemorrhage
Keywords
Secondary pneumomediastinum; Bilateral tension pneumothorax; Aneurysmal subarachnoid hemorrhage
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Case Report
Haichun Ma
Jilin University First Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-2949-3342
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 08 Jan, 2019
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Internal Medicine Specialties
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Simultaneous occurrence of secondary pneumomediastinum and bilateral tension pneumothorax is an uncommon complication of aneurysmal subarachnoid hemorrhage.
Case presentation: In the present study, all five patients were admitted with Hunt and Hess grade IV. Pneumomediastinum and bilateral tension pneumothorax occurred simultaneously after clipping or embolization. Tube thoracostomy and underwater sealed drainage were performed to improve oxygen saturation and hemodynamics. Of five patients, one was decided to cease treatment on the first day after surgery, three patients achieved good recovery, and one patient suffered serious disability.
Conclusions: Anesthesiologists should be aware of pneumomediastinum and bilateral tension pneumothorax occurring after surgical or neurointerventional treatment in subarachnoid hemorrhage patients with poor Hunt and Hess grade. Timely diagnosis and chest tube insertion were extremely crucial in the treatment of these patients.
Keywords: Secondary pneumomediastinum; Bilateral tension pneumothorax; Aneurysmal subarachnoid hemorrhage
Figure 1
Figure 2
Figure 3
This is a list of supplementary files associated with this preprint. Click to download.
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