{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T06:14:03Z","timestamp":1788156843128,"version":"build-2803163510"},"reference-count":2,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T00:00:00Z","timestamp":1786233600000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>An 86\u2010year\u2010old woman with a tracheostomy developed airway obstruction caused by viscid sputum. Forceful manual ventilation through her obstructed airway precipitated tension pneumothorax, pneumomediastinum, pneumopericardium, pneumoperitoneum, and pneumoretroperitoneum. This case suggests that airway obstruction can induce secondary tension pneumothorax, further worsening respiratory function.<\/jats:p>","DOI":"10.1002\/ccr3.73329","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T04:58:18Z","timestamp":1786337898000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sudden Respiratory Impairment due to Simultaneous Airway Obstruction and Tension Pneumothorax in a Patient Who Underwent Tracheostomy"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5953-3042","authenticated-orcid":false,"given":"Yuko","family":"Ono","sequence":"first","affiliation":[{"name":"Department of Emergency and Disaster Medicine, Graduate School of Medicine Juntendo University  Tokyo Japan"},{"name":"Department of Anesthesiology Ohta General Hospital Foundation, Ohta Nishinouchi Hospital  Koriyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuaki","family":"Shinohara","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Ohta General Hospital Foundation, Ohta Nishinouchi Hospital  Koriyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2394-2688","authenticated-orcid":false,"given":"Nobuto","family":"Nakanishi","sequence":"additional","affiliation":[{"name":"Department of Disaster and Emergency Medicine, Graduate School of Medicine Kobe University  Kobe City Hyogo Prefecture Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5257-5320","authenticated-orcid":false,"given":"Kazushi","family":"Takayama","sequence":"additional","affiliation":[{"name":"Department of Disaster and Emergency Medicine, Graduate School of Medicine Kobe University  Kobe City Hyogo Prefecture Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Kondo","sequence":"additional","affiliation":[{"name":"Department of Emergency and Disaster Medicine, Graduate School of Medicine Juntendo University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.4266\/acc.2019.00570"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.5492\/wjccm.v3.i1.8"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73329","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.73329","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T05:21:39Z","timestamp":1788153699000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.73329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":2,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/ccr3.73329"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.73329","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-04-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73329"}}