Why my patient won´t wake up? Massive pneumocephalus after scheduled craniotomy

Authors

  • Alvaro San Antonio Gil Hospital San Pedro de Alcantara, Cáceres
  • JJ Pazos Crespo MIR anestesiología y reanimación. Complejo Hospitalario Universitario de Albacete
  • Aida Blaya Solana MIR anestesiología y reanimación. Hospital General Universitario Reina Sofía, Murcia
  • Pablo Cuesta Montero FEA anestesiología y reanimación. Complejo Hospitalario Universitario de Albacete

DOI:

https://doi.org/10.30445/rear.v10i10.622

Keywords:

neurosurgery issues, Mount Fuji sign, pneumoencephalon

Abstract

Our article is about complications arising from intracranial neurosurgery that could be the cause a delay in awakening of patients one surgery is is done. 

In this case is about post craniotomy pneumoencephalon (regarding a situation we had at Albacete hospital), its prevalence, clinical implications and complications associated to it, as well as its handling.

References

BIBLIOGRAFÍA.
1- Haugen FP. The failure to regain consciousness after general anesthesia. Anesthesiology. 1961;22(5):657-666.
2- Reasoner, D.K., Todd, M.M., Scamman, F.L., Wamer, D.S.: The incidence of pneumocephalus after supratentorial craniotomy. Anesthesiology 1994; 80: 1008-1012.
3- Rolston JD, Han SJ, Lau CY, Berger MS, Parsa AT. Frequency and predictors of complications in neurological surgery: national trends from 2006 to 2011. J Neurosurg. 2014; 120: 736–45.
4- Puntis M, Garner A. Management of pain following craniotomy. Br J Nurs. 2015; 24: 740–44.
5- *Carlos B. Dabdoub, Gueider Salas, Elisabeth do N. Silveira, Carlos F. Dabdoud. Review of the management of pneumocephalus. Surg Neurol Int. 2015; 6: 155.

Published

2020-09-10

How to Cite

San Antonio Gil, A., Pazos Crespo, J., Blaya Solana, A., & Cuesta Montero, P. (2020). Why my patient won´t wake up? Massive pneumocephalus after scheduled craniotomy. Revista Electrónica AnestesiaR, 10(10), 1. https://doi.org/10.30445/rear.v10i10.622

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