Hypercapnic coma due to spontaneous pneumothorax: Case report and review of the literature

Journal of Emergency Medicine

Volumn 42, Issue 1, 2012, Pages e1-

  Otten, Martine ^a   Schwarte, Lothar A ^a   Oosterhuis, J Wolter A ^a   Loer, Stephan A ^a   Schober, Patrick ^a  

^a VU UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

carbon dioxide; coma; consciousness; hypercapnia; pneumothorax; unconscious

Indexed keywords

AGED; ARTERIAL CARBON DIOXIDE TENSION; CASE REPORT; COMA; CONSCIOUSNESS LEVEL; HOSPITAL ADMISSION; HUMAN; HYPERCAPNIA; LUNG RESECTION; MALE; NEUROLOGIC DISEASE; PHYSICAL EXAMINATION; PRIORITY JOURNAL; REVIEW; SPONTANEOUS PNEUMOTHORAX; THORAX DRAINAGE; THORAX RADIOGRAPHY; VITAL SIGN;

EID: 84856092460     PISSN: 07364679     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jemermed.2008.10.020     Document Type: Article

References (34)

1. R.D. Stevens, A. Bhardwaj Approach to the comatose patient Crit Care Med 34 2006 31 41 (Pubitemid 43033316)
2. F. Adnet, P. Plaisance, S.W. Borron, A. Levy, D. Payen Prolonged severe hypercapnia complicating near fatal asthma in a 35-year-old woman Intensive Care Med 24 1998 1335 1338 (Pubitemid 28564460)
3. F. Adnet, S.X. Racine, F. Lapostolle, Y. Cohen, M. Cupa, J. Minadeo Full reversal of hypercapnic coma by noninvasive positive pressure ventilation Am J Emerg Med 19 2001 244 246 (Pubitemid 32378675)
4. J.P. Dimond, M.G. Palazzo An unconscious man with asthma and a fixed, dilated pupil Lancet 349 1997 98 (Pubitemid 27023428)
5. M. Klein, N. Weksler, C. Bartal, G.M. Gurman Helmet noninvasive ventilation for weaning from mechanical ventilation Respir Care 49 2004 1035 1037
6. T.K. Lim, W.C. Tan Acute carbon dioxide narcosis during inhalational therapy with oxygen powered nebulizers in patients with chronic airflow limitation Ann Acad Med Singapore 14 1985 439 441 (Pubitemid 16215014)
7. S.A. Sahn, J.E. Heffner Spontaneous pneumothorax N Engl J Med 342 2000 868 874 (Pubitemid 30165211)
8. M.H. Baumann Do blebs cause primary spontaneous pneumothorax? Pro: blebs do cause primary spontaneous pneumothorax J Bronchol 9 2002 313 318 (Pubitemid 35222342)
9. M. Noppen Do blebs cause primary spontaneous pneumothorax? Con: blebs do not cause primary spontaneous pneumothorax J Bronchol 9 2002 319 323 (Pubitemid 35222343)
10. L.W. Raymond The alveolar air equation abbreviated Chest 74 1978 675 676 (Pubitemid 9088040)
11. G. Sleilaty, A. Yazigi, G. Tabet, W. Ghantous, D. Topouchian, M. Riachi Spontaneous contralateral pneumothorax: an unusual cause of respiratory distress after pneumonectomy J Cardiothorac Vasc Anesth 19 2005 557 558 (Pubitemid 41112201)
12. G.G. Diaz, A.C. Alcaraz, J.C. Talavera Noninvasive positive-pressure ventilation to treat hypercapnic coma secondary to respiratory failure Chest 127 2005 952 960 (Pubitemid 40778658)
13. H.O. Sieker, J.B. Hickam Carbon dioxide intoxication: the clinical syndrome, its etiology and management with particular reference to the use of mechanical respirators Medicine (Baltimore) 35 1956 389 423
14. A. Morton An unusual case of unconsciousness Anaesth Intensive Care 2 1974 81 82
15. R.D. Henderson, P. Sandroni, E.F. Wijdicks Chronic inflammatory demyelinating polyneuropathy and respiratory failure J Neurol 252 2005 1235 1237 (Pubitemid 41443624)
16. J.E. Neustadt, R.C. Levy, I.J. Spiegel Carbon dioxide narcosis in association with muscular dystrophy JAMA 187 1964 616 617
17. L.M. Astudillo, M. Carreiro, L. Sailler, C.F. Dingremont, P.M. Arlet Hypercapnic coma due to diaphragmatic involvement in a patient with dermatomyositis Clin Exp Rheumatol 19 2001 456 458 (Pubitemid 32685376)
18. B. Goldstein, D.C. Shannon, I.D. Todres Supercarbia in children: clinical course and outcome Crit Care Med 18 1990 166 168 (Pubitemid 20053009)
19. P. Slinger, P.E. Blundell, I.R. Metcalf Management of massive grain aspiration Anesthesiology 87 1997 993 995 (Pubitemid 27456258)
20. M.S. Berner Profound hypercapnia due to disconnection within an anaesthetic machine Can J Anaesth 34 1987 622 626 (Pubitemid 17162386)
21. M. Yano A patient who manifested various symptoms following severe accidental hypercapnia Masui 45 1996 1140 1144 (Pubitemid 26321543)
22. R.T. Potkin, E.R. Swenson Resuscitation from severe acute hypercapnia Determinants of tolerance and survival Chest 102 1992 1742 1745 (Pubitemid 23001219)
23. E. Smyth, T.D. Egan Apneic oxygenation associated with patient-controlled analgesia J Clin Anesth 10 1998 499 501 (Pubitemid 28467143)
24. K. Takahashi, S. Nosaka Carbon dioxide narcosis caused by midazolam in a patient with myotonic dystrophy Anaesthesia 55 2000 97 (Pubitemid 30040051)
25. E.A. Shipton, J.A. Roelofse, C.A. van der Merwe Accidental severe hypercapnia during anaesthesia Case reports and a review of some physiological effects S Afr Med J 64 1983 755 756 (Pubitemid 14211333)
26. Y.S. Lew, C.R. Thambi Dorai, P.T. Phyu A case of supercarbia following pneumoperitoneum in an infant Paediatr Anaesth 15 2005 346 349 (Pubitemid 40462814)
27. Q.M. Nunes, E.H. Gemmill, J.R. Eastwood, D.N. Lobo Carbon dioxide narcosis and grand mal seizure complicating laparoscopic herniorrhaphy Surg Laparosc Endosc Percutan Tech 17 2007 52 53 (Pubitemid 46941086)
28. H.O. Zender, P. Eggimann, P. Bulpa, J.C. Chevrolet, P. Jolliet Quadriparesia following permissive hypercapnia and inhalational anesthesia in a patient with severe status asthmaticus Intensive Care Med 22 1996 1001 (Pubitemid 26340658)
29. S.M. Edmunds, R. Harrison Subarachnoid hemorrhage in a child with status asthmaticus: significance of permissive hypercapnia Pediatr Crit Care Med 4 2003 100 103
30. C. Rodrigo, G. Rodrigo Subarachnoid hemorrhage following permissive hypercapnia in a patient with severe acute asthma Am J Emerg Med 17 1999 697 699
31. M.J. Dulfano, S. Ishikawa Hypercapnia: mental changes and extrapulmonary complication An expanded concept of the "CO-2 intoxication" syndrome Ann Intern Med 63 1965 829 841
32. H.H. Meissner, C. Franklin Extreme hypercapnia in a fully alert patient Chest 102 1992 1298 1299
33. J.A. Sayers, R.E. Smith, R.L. Holland, W.R. Keatinge Effects of carbon dioxide on mental performance J Appl Physiol 63 1987 25 30 (Pubitemid 17107121)
34. E.K. Westlake, T. Simpson, M. Kaye Carbon dioxide narcosis in emphysema Q J Med 24 1955 155 173