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Koeppen M, Scott B, Morabito J, et al. Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid Surgery. Case Rep Anesthesiol. 2017;2017:8206970doi: 10.1155/2017/8206970.
Koeppen, M., Scott, B., Morabito, J., Fiegel, M., & Eckle, T. (2017). Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid Surgery. Case reports in anesthesiology, 20178206970. https://doi.org/10.1155/2017/8206970
Koeppen, Michael, et al. "Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid Surgery." Case reports in anesthesiology vol. 2017 (2017): 8206970. doi: https://doi.org/10.1155/2017/8206970
Koeppen M, Scott B, Morabito J, Fiegel M, Eckle T. Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid Surgery. Case Rep Anesthesiol. 2017;2017:8206970. doi: 10.1155/2017/8206970. Epub 2017 Apr 24. PMID: 28523194; PMCID: PMC5421092.
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Case Rep Anesthesiol. 2017;2017:8206970. doi: 10.1155/2017/8206970. Epub 2017 Apr 24.

Pneumomediastinum and Bilateral Pneumothoraces Causing Respiratory Failure after Thyroid Surgery.

Case reports in anesthesiology

Michael Koeppen, Benjamin Scott, Joseph Morabito, Matthew Fiegel, Tobias Eckle

Affiliations

  1. Anesthesiology, Ludwig Maximilian University of Munich, Munich, Germany.
  2. Anesthesiology, University of Denver School of Medicine, Aurora, CO, USA.

PMID: 28523194 PMCID: PMC5421092 DOI: 10.1155/2017/8206970

Abstract

We report the first case of severe respiratory failure after thyroid surgery requiring venovenous extracorporeal membrane oxygenation (vvECMO). The patient was a 41-year-old woman with metastatic thyroid cancer. She underwent thyroidectomy, including left lateral and bilateral central neck dissection. During surgery, the patient developed pneumomediastinum with bilateral pneumothoraces. Despite early treatment with bilateral chest tubes and no evidence of a tracheal perforation, the patient developed severe respiratory failure after extubation on the intensive care unit. Because pneumothorax and pneumomediastinum might be more common than reported, and considering increasing cases of thyroid surgery, staff should remain vigilant of pulmonary complications after thyroid surgery.

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