|
KMID : 1201420190120020098
|
|
Journal of Neurocritical Care
2019 Volume.12 No. 2 p.98 ~ p.101
|
|
|
Oxygen supplementation via high-flow nasal cannula is an effective treatment for pneumocephalus
|
|
Lee Deok-Soo
Cha Jae-Kwan
Lee Dong-Hyun
Byun Ki-Sup
Jeong Jin-Heon
|
|
|
Abstract
|
|
|
Background: Oxygen supplementation through a high-flow nasal cannula (HFNC) is a powerful technique that promotes the absorption of air by delivering high concentrations of oxygen to patients who are not intubated, and may be a viable treatment option for pneumocephalus.
Case Report: A 75-year-old female presented in a stuporous state. She had received an epidural injection due to back pain 2 hours ago. Non-contrast brain computed tomography revealed a pneumocephalus at the interhemispheric fissure and the prepontine cistern. HFNC oxygen therapy at 60 L/min with a fraction of inspired oxygen of 1 was started. By the next morning, her mental status had recovered and a repeat brain computed tomography 15 hours later revealed complete absorption of the pneumocephalus.
Conclusion: Supplemental high oxygen via HFNC can be successfully used in patients with pneumocephalus who are not intubated and mechanically ventilated.
|
|
|
KEYWORD
|
|
|
Pneumocephalus, High-flow nasal cannula, Oxygen therapy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
 
|