Kern C, Tassonyi E
Département d'Anesthésiologie, Hôpital cantonal universitaire de Genéve, Suisse.
Can J Anaesth. 1989 Jan;36(1):78-80. doi: 10.1007/BF03010892.
We present a case-report of pneumomediastinum and surgical emphysema of the head, neck and upper thorax following the use of a high-pressure air-jet during dental surgery under general anaesthesia with N2O. This rare complication may be forgotten by the anaesthetist. The pneumomediastinum was diagnosed at the end of surgery and the cause subsequently determined during the immediate postoperative period. The possible deleterious effects of using such a dental air-jet are discussed as well as the potential dangers of the administration of nitrous oxide in such situation.
我们报告一例在全身麻醉下使用笑气进行牙科手术时，因使用高压空气喷射器后发生纵隔气肿以及头、颈和上胸部手术性气肿的病例。这种罕见的并发症可能会被麻醉医生忽视。纵隔气肿在手术结束时被诊断出来，随后在术后即刻确定了病因。本文讨论了使用这种牙科空气喷射器可能产生的有害影响，以及在这种情况下使用一氧化二氮的潜在危险。
