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Alteration of Capnogram as the First Sign of Pneumothorax in an Infant Who Underwent Bronchoscopy with Jet Ventilation
Acta Anaesthesiologica Taiwanica, 06/30/09
Tsai F-F et al. - A 3-month-old male infant underwent rigid bronchoscopy with manual jet ventilation due to persistent right upper lobe collapse under capnographic surveillance. The CO2 waveform abruptly vanished soon after application of jet ventilation, while breath sounds decreased gradually until the left side breath sounds were barely audible. Progressive abdominal distension with protruding umbilicus was also detected at the same time. We strongly recommend that continuous capnographic surveillance be applied during bronchoscopy with jet ventilation.
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