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Published on: January 13, 2017
Endotracheal Oxygen Insufflation Associated with Life-Threatening Barotrauma during Apnea Testing
Saud Ali Aljasir1, Fahad Abdullah Alshammari1, Jehan Abdullah Abdul-Aziz Fatani1
1Department of Critical Care King Khalid University Hospital King Saud University Medical City College of Medicine King Saud University, Riyadh, Saudi Arabia.
Abstract:
Apnea testing is a standard method when diagnosing brain or more specifically brainstem death; however, it is imperative to acknowledge the potential for lung injury during this procedure and follow clinical practice guideline recommendations that may reduce the risk of complications. Two cases of barotrauma leading to pneumothorax occurred during apnea tests that used higher-than-recommended oxygen flow rates. Additional data are necessary to clarify the mechanism and incidence of this life-threatening complication.
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