Iatrogenic Tension Pneumothorax after Fiberoptic-guided Intubation in a Pediatric Patient: A Case Report

Authors

  • Mark Andrew B. Cruz Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila
  • Edgard M. Simon Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.v56i18.6400

Keywords:

anesthesia, airway management, intubation, tension pneumothorax, complications

Abstract

Fiberoptic-guided intubation (FOI) has been an indispensable component of difficult airway management especially in instances where anatomical limitations precluded use of conventional direct laryngoscopy. Its use, however, is not without risks.

This paper presents a 4-year-old female with a limited mouth opening scheduled for an elective oral commissurotomy who developed signs and symptoms of tension pneumothorax immediately following a successful fiberoptic nasotracheal intubation. Passive insufflation of high-flow oxygen through a flexible fiberoptic bronchoscope preloaded with a tight-fitting endotracheal tube led to accumulation of air. This caused lung hyperinflation and subsequently, pneumothorax.

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Published

2022-10-12

How to Cite

1.
Iatrogenic Tension Pneumothorax after Fiberoptic-guided Intubation in a Pediatric Patient: A Case Report . Acta Med Philipp [Internet]. 2022 Oct. 12 [cited 2025 Apr. 7];56(18). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/6400

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