Ventilation induced pneumothorax following resolved empyema | Zendy

Nyman A.G. | Zendy; Sonnappa S. | Zendy; Prendiville A.T. | Zendy; Jaffe A. | Zendy

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Ventilation induced pneumothorax following resolved empyema

Author(s) -

Nyman A.G.,

Sonnappa S.,

Prendiville A.T.,

Jaffe A.

Publication year - 2008

Publication title -

pediatric pulmonology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.866

H-Index - 106

eISSN - 1099-0496

pISSN - 8755-6863

DOI - 10.1002/ppul.20684

Subject(s) - medicine , pneumothorax , empyema , anesthesia , complication , respiratory distress , surgery , respiratory disease , ventilation (architecture) , lung , mechanical engineering , engineering

We report a case of pneumothorax as a result of positive pressure ventilation in a child previously treated for empyema. Three months following discharge for successful treatment of empyema our patient received a general anesthetic for an elective MRI of the brain for investigation of nystagmus. During recovery from the anesthetic he developed respiratory distress and was found to have a loculated pneumothorax. We propose that pleural fragility in childhood empyema possibly persists even after clinical resolution and in this case for up to 3 months. The complication of pneumothorax should be considered in all patients receiving positive pressure ventilation following resolved empyema. Pediatr Pulmonol. 2008; 43:99–101. © 2007 Wiley‐Liss, Inc.

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