Pneumocephalus and subcutaneous scalp emphysema in a neonate on a low-flow nasal cannula.
Gen Thorac Cardiovasc Surg
; 64(5): 277-9, 2016 May.
Article
em En
| MEDLINE
| ID: mdl-25038900
ABSTRACT
A 15-day-old boy after intracardiac repair was discharged from the intensive care unit with a low-flow nasal cannula for oxygen administration. The cannula was a 4-Fr multi-purpose tube with a side hole that was inserted into his left nostril. Next day, he suddenly developed pneumocephalus emerging from the right periorbital swelling and extending to his face and subcutaneous scalp over the next 6 h. A computed tomography (CT) scan revealed massive air pockets in the orbit, subdural space, subcutaneous scalp, and face. The nasal cannula was found to have been inserted deeper than we thought and was thus presumed to be the source of the air pockets. We immediately removed the cannula. Follow-up CTs revealed rapid resolution of the intracranial and subcutaneous air. The subcutaneous emphysema completely disappeared over the next 4 days, and he was discharged without any incident.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pneumocefalia
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Enfisema Subcutâneo
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Cânula
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Cardiopatias Congênitas
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Humans
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Male
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Newborn
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article