Zlotnik D, Taylor G, Simmoneau A, Viot-Blanc V, Devys J-M
Fondation ophtalmologique A.-de Rothschild, 25, rue Manin, 75019 Paris, France.
Fondation ophtalmologique A.-de Rothschild, 25, rue Manin, 75019 Paris, France.
Ann Fr Anesth Reanim. 2014 Apr;33(4):275-8. doi: 10.1016/j.annfar.2014.03.001. Epub 2014 Apr 13.
The early use of continuous positive airway pressure ventilation has been shown to be effective and is recommended for patients with obstructive sleep apnea. The complications of continuous positive airway pressure ventilation are not well described. We report two cases of pneumocephalus following the use of continuous positive airway pressure ventilation after transsphenoidal surgery. One patient had an obstructive sleep apnea and the other suffered acute respiratory failure. In both cases, pneumocephalus caused major morbidity and required specific treatment and prolonged considerably hospital stay. Based on these observations we believe new precautions in the use of noninvasive continuous positive airway pressure ventilation should be recommended.
早期使用持续气道正压通气已被证明是有效的，并且推荐用于阻塞性睡眠呼吸暂停患者。持续气道正压通气的并发症尚未得到充分描述。我们报告两例经蝶窦手术后使用持续气道正压通气后发生气颅的病例。一例患者患有阻塞性睡眠呼吸暂停，另一例患有急性呼吸衰竭。在这两例中，气颅均导致了严重的发病情况，需要进行特殊治疗并显著延长了住院时间。基于这些观察结果，我们认为应该推荐在使用无创持续气道正压通气时采取新的预防措施。
