Diagnosing Intraoperative Pneumothorax in Patients Undergoing Autologous Breast Reconstruction: A Useful Clinical Sign
Intraoperative pneumothorax during breast reconstruction can be difficult to diagnose. Even a small pneumothorax can become a tension pneumothorax under positive pressure ventilation. The clinical finding of venous congestion in a pedicled latissimus dorsi flap, which could not be explained by probl...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2014/308485 |
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| author | Thomas Reekie David McGill Elizabeth Marshall |
| author_facet | Thomas Reekie David McGill Elizabeth Marshall |
| author_sort | Thomas Reekie |
| collection | DOAJ |
| description | Intraoperative pneumothorax during breast reconstruction can be difficult to diagnose. Even a small pneumothorax can become a tension pneumothorax under positive pressure ventilation. The clinical finding of venous congestion in a pedicled latissimus dorsi flap, which could not be explained by problems with the vessels, preceded other signs of a tension pneumothorax in the case presented here. Given the difficulties of access to the chest by the anaesthetic team during breast procedures, this has the potential to be a useful adjunct in the diagnosis of this potentially serious intraoperative complication. |
| format | Article |
| id | doaj-art-ca1e7a3c3d0f43e88826b25476a282d8 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-ca1e7a3c3d0f43e88826b25476a282d82025-02-03T01:02:58ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/308485308485Diagnosing Intraoperative Pneumothorax in Patients Undergoing Autologous Breast Reconstruction: A Useful Clinical SignThomas Reekie0David McGill1Elizabeth Marshall2Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, Glasgow, UKCanniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, Glasgow, UKGlasgow Royal Infirmary, Glasgow, UKIntraoperative pneumothorax during breast reconstruction can be difficult to diagnose. Even a small pneumothorax can become a tension pneumothorax under positive pressure ventilation. The clinical finding of venous congestion in a pedicled latissimus dorsi flap, which could not be explained by problems with the vessels, preceded other signs of a tension pneumothorax in the case presented here. Given the difficulties of access to the chest by the anaesthetic team during breast procedures, this has the potential to be a useful adjunct in the diagnosis of this potentially serious intraoperative complication.http://dx.doi.org/10.1155/2014/308485 |
| spellingShingle | Thomas Reekie David McGill Elizabeth Marshall Diagnosing Intraoperative Pneumothorax in Patients Undergoing Autologous Breast Reconstruction: A Useful Clinical Sign Case Reports in Surgery |
| title | Diagnosing Intraoperative Pneumothorax in Patients Undergoing Autologous Breast Reconstruction: A Useful Clinical Sign |
| title_full | Diagnosing Intraoperative Pneumothorax in Patients Undergoing Autologous Breast Reconstruction: A Useful Clinical Sign |
| title_fullStr | Diagnosing Intraoperative Pneumothorax in Patients Undergoing Autologous Breast Reconstruction: A Useful Clinical Sign |
| title_full_unstemmed | Diagnosing Intraoperative Pneumothorax in Patients Undergoing Autologous Breast Reconstruction: A Useful Clinical Sign |
| title_short | Diagnosing Intraoperative Pneumothorax in Patients Undergoing Autologous Breast Reconstruction: A Useful Clinical Sign |
| title_sort | diagnosing intraoperative pneumothorax in patients undergoing autologous breast reconstruction a useful clinical sign |
| url | http://dx.doi.org/10.1155/2014/308485 |
| work_keys_str_mv | AT thomasreekie diagnosingintraoperativepneumothoraxinpatientsundergoingautologousbreastreconstructionausefulclinicalsign AT davidmcgill diagnosingintraoperativepneumothoraxinpatientsundergoingautologousbreastreconstructionausefulclinicalsign AT elizabethmarshall diagnosingintraoperativepneumothoraxinpatientsundergoingautologousbreastreconstructionausefulclinicalsign |