Gastric Rupture With Tension Pneumoperitoneum: A Complication of Difficult Endotracheal Intubation - 10/09/11
Abstract |
Gastric rupture is a rare complication of difficult airway management. In cases of vigorous mouth-to-mouth ventilation, bag-valve–mask ventilation, or esophageal intubation, gastric rupture and massive intraperitoneal free air may cause tension pneumoperitoneum. Hemodynamic instability necessitates immediate intervention, including needle decompression of the peritoneum followed by surgical exploration. We recently encountered two cases of gastric rupture with tension pneumoperitoneum that occurred after difficult endotracheal intubation. This report describes the presentation, treatment, and prevention of this entity. [Miller JS, Itani KMF, Oza MD, Wall MJ: Gastric rupture with tension pneumoperitoneum: A complication of difficult endotracheal intubation. Ann Emerg Med September 1997;30:343-346.]
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From the Department of Surgery, Baylor College of Medicine, Veterans Affairs Medical Center* and Ben Taub General Hospital,‡ Houston, TX. |
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Address for reprints: Kamal MF Itani, MD, Department of Surgery (112A), Veterans Affairs Medical Center, 2002 Holcombe Boulevard, Houston, TX 77030, 713-794-7521, Fax 713-794-7352 |
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Reprint no. 47/1/83929 |
Vol 30 - N° 3
P. 343-346 - septembre 1997 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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