Status asthmaticus with pseudo-dextrocardia, complicated by iatrogenic tension pneumothorax

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Status asthmaticus with pseudo-dextrocardia, complicated by iatrogenic tension pneumothorax

A 25-year old female, with a background of asthma, presented with acute shortness of breath. On examination the patient was in severe respiratory distress with expiratory wheezes. She was nebulized with ipratropium and fenoterol. A chest x-ray revealed pseudodextrocardia and air trapping (A). She did not respond to inhaled bronchodilator therapy. Intravenous hydrocortisone and magnesium sulphat...

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Tension pneumothorax complicated by double-lumen endotracheal tube intubation.

Tension pneumothorax is not a rare complication of mechanical ventilation, but its occurrence immediately after intubation with a double-lumen endotracheal tube (DLT) is very rare. Subsequent impairment of the respiratory and cardiovascular function can be life threatening if it is not detected early enough and managed properly. Most reported cases of tension pneumothorax during DLT intubation ...

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Iatrogenic tension pneumothorax in children: two case reports

INTRODUCTION Two cases of iatrogenic tension pneumothorax in children are reported. CASE PRESENTATIONS Case 1: A 2-year-old boy with suspected brain death after suffering multiple trauma suddenly developed intense cyanosis, extreme bradycardia and generalized subcutaneous emphysema during apnea testing. He received advanced cardiopulmonary resuscitation and urgent bilateral needle thoracostom...

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Status asthmaticus

Status asthmaticus (SA) is a common medical emergency faced by emergency department and intensive care specialists. Timely evaluation and treatment is required to prevent the morbidity and mortality associated with respiratory failure. SA is a severe asthma exacerbation that proves refractory to standard treatment regimens and represents the most extreme end of the asthma spectrum. Research eff...

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Status asthmaticus.

Status asthmaticus, or acute severe asthma [ 1 ], is a potentially life-threatening episode of severe asthma failing to respond to usually effective or increasing amounts of inhaled [32-adrenergic agonists and theophylline preparations . Such an acute episode of asthma is often preceded by inadequate control of symptoms over the preceding weeks with more rapid deterioration 24 h immediately bef...

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ژورنال

عنوان ژورنال: Pan African Medical Journal

سال: 2016

ISSN: 1937-8688

DOI: 10.11604/pamj.2016.24.31.9552