Pneumothorax in Recovery of Patients Undergoing Facial Reconstruction with Latissimus Dorsi Flap: A Case Report
Archives of Critical Care Medicine,
Vol. 2 No. 2 (2016),
31 October 2023
Abstract
The reported case was a 27 - year - old male with upper maxilla squamous cancer that had undergone reconstruction with Latissimus dorsi flap. The surgery patient in lateral position experienced arterial oxygen saturation drop once, which was increased after a few minutes up to about 96% to 97%. At the end of surgery, the awake and alert patient was delivered to the recovery room. Ten minutes later, he was affected by SPO2 drop up to 90% to 93% and tachycardia, PR = 122, without respiratory distress. In auscultation, respiratory noise reduction was clear in the right hemi-thorax. Chest X - ray was taken and pneumothorax conformation chest tube No 28 was embedded in the emergency room by surgery services
- Recovery Room
- Pneumothorax
- Latissimus Dorsi Flap
How to Cite
References
Delay E, Gounot N, Bouillot A, Zlatoff P, Rivoire M. Autologous latissimus breast reconstruction: a 3-year clinical experience with 100 patients. Plast Reconstr Surg. 1998;102(5):1461–78. [PubMed: 9774000].
Halperin B. Patient safety in plastic surgery. In: Neligan PC, Gurtner
GC, editors. Plastic Surgery: Principles. 3 rd ed. Elsevier; 2013. 132 p.
Gandamihardja TA, Chew BK, Weiler-Mithoff EM. Pneumothorax following extended latissimus dorsi flap breast reconstruction: rare complication or coincidence? J Plast Reconstr Aesthet
Surg. 2013;66(10):1442–4. doi: 10.1016/j.bjps.2013.04.024. [PubMed:
.
Reekie T, McGill D, Marshall E. Diagnosing intraoperative pneumothorax in patients undergoing autologous breast reconstruction: a useful clinical sign. Case Rep Surg. 2014;2014:308485. doi:
1155/2014/308485. [PubMed: 25184069].
Bacon AK, Morris RW, Runciman WB, Currie M. Crisis management
during anaesthesia: recovering from a crisis. Qual Saf Health Care.
;14(3). e25. doi: 10.1136/qshc.2002.004333. [PubMed: 15933299].
- Abstract Viewed: 8 times
- PDF Downloaded: 0 times