• J Clin Anesth · Aug 2011

    Case Reports

    Cervicofacial subcutaneous emphysema and pneumomediastinum after retinal detachment surgery: just another monitored anesthesia eye case.

    • James D Colson.
    • Department of Anesthesiology, West Virginia University School of Medicine, Morgantown, WV 26506-9134, USA. colsonj@wvuh.com
    • J Clin Anesth. 2011 Aug 1;23(5):410-3.

    AbstractRepair of a retinal detachment was performed during a retrobulbar block with monitored anesthesia care and intravenous conscious sedation. Following the procedure and after removal of the sterile drapes, the patient exhibited significant swelling of the bilateral orbits, face, neck, and chest. Subcutaneous emphysema and pneumomediastinum were confirmed on postoperative chest radiographs and computed tomographic scans. Possible mechanisms and potential sequelae of this intraoperative event are discussed.Copyright © 2011 Elsevier Inc. All rights reserved.

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