Pneumocephalus with BiPAP use after transsphenoidal surgery

Jonathan C Kopelovich; Gabriel O de la Garza; Jeremy D.W Greenlee; Scott M Graham; Chiedozie I Udeh; Erin K O'Brien

doi:10.1016/j.jclinane.2011.12.003

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Pneumocephalus with BiPAP use after transsphenoidal surgery

Journal article

Peer reviewed

Pneumocephalus with BiPAP use after transsphenoidal surgery

Jonathan C Kopelovich, Gabriel O de la Garza, Jeremy D.W Greenlee, Scott M Graham, Chiedozie I Udeh and Erin K O'Brien

Journal of clinical anesthesia, Vol.24(5), pp.415-418

08/2012

DOI: 10.1016/j.jclinane.2011.12.003

PMCID: PMC3670152

PMID: 22626688

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Abstract

While the benefits of continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP) for patients with obstructive sleep apnea are well described, reports in the literature of complications from its use are rare. A patient who received postoperative BiPAP after undergoing transsphenoidal craniopharyngioma resection developed severe pneumocephalus and unplanned intensive care unit admission. Although the pneumocephalus resolved with conservative management over two weeks, we propose caution in the use of CPAP postoperatively in patients undergoing procedures of the head and neck.

Bilevel positive airway pressure

Head and neck surgery

Pneumocephalus

Transsphenoidal craniopharyngioma surgery

Details

Title: Subtitle: Pneumocephalus with BiPAP use after transsphenoidal surgery
Creators: Jonathan C Kopelovich - Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, IA 52242, USA
Gabriel O de la Garza - Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, IA 52242, USA
Jeremy D.W Greenlee - Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, IA 52242, USA
Scott M Graham - Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, IA 52242, USA
Chiedozie I Udeh - Department of Anesthesiology, University of Iowa, Iowa City, IA 52242, USA
Erin K O'Brien - Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, IA 52242, USA
Resource Type: Journal article
Publication Details: Journal of clinical anesthesia, Vol.24(5), pp.415-418
DOI: 10.1016/j.jclinane.2011.12.003
PMID: 22626688
PMCID: PMC3670152
NLM abbreviation: J Clin Anesth
ISSN: 0952-8180
eISSN: 1873-4529
Publisher: Elsevier Inc
Language: English
Date published: 08/2012
Academic Unit: Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology
Record Identifier: 9984006483702771

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