{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:45:10Z","timestamp":1777725910574,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Pneumothorax after neurosurgical procedures is very rare and incompletely understood. This study was performed to explore the clinical characteristics and pathogenesis of pneumothorax after neurosurgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively evaluated patients admitted from December 2016 to April 2019 for treatment of spontaneous intracranial hemorrhage. The inclusion criteria were neurosurgical procedures (open surgeries or endovascular intervention) performed under general anesthesia, no performance of central venous puncture during surgery, and occurrence of pneumothorax immediately after the neurosurgical procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight patients developed pneumothorax after neurosurgical procedures for spontaneous intracranial hemorrhage under general anesthesia. Of the eight patients, seven had aneurysmal subarachnoid hemorrhage and one had left temporal\u2013parietal hemorrhage. The lung injury prediction score (LIPS) was 3, 4, 5, 6, and 9.5 in three, one, two, one, and one patient, respectively. During the operation, volume-controlled ventilation (tidal volume, 8\u201310 mL\/kg) was selected for all patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Neurogenic pulmonary edema, inappropriate mechanical ventilation, and stimulation by endotracheal intubation might conjointly contribute to postoperative pneumothorax. To avoid this rare entity, mechanical ventilation with a low tidal volume or low pressure during general anesthesia should be adopted for patients with hemorrhagic cerebrovascular diseases involving the temporal lobe and a LIPS of &gt;3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060520976496","type":"journal-article","created":{"date-parts":[[2020,12,10]],"date-time":"2020-12-10T13:18:54Z","timestamp":1607606334000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Immediate pneumothorax after neurosurgical procedures"],"prefix":"10.1177","volume":"48","author":[{"given":"Jinzhu","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, The First Hospital of Jilin University, Changchun, Jilin, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kan","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Hospital of Jilin University, Changchun, Jilin, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Hospital of Jilin University, Changchun, Jilin, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bin","family":"Qi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Hospital of Jilin University, Changchun, Jilin, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7112-7883","authenticated-orcid":false,"given":"Kun","family":"Hou","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Hospital of Jilin University, Changchun, Jilin, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2329-7946","authenticated-orcid":false,"given":"Jinlu","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Hospital of Jilin University, Changchun, Jilin, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,12,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.10476"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001073"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2053"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2012-202875"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000196938.91369.2a"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5049.151380"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.4103\/aer.AER_167_18"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.32.9.2208"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201004-0549OC"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2017-219420"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.5137\/1019-5149.JTN.22556-18.1"},{"key":"e_1_3_2_13_2","first-page":"481","article-title":"Pneumocystis pneumonia-induced pneumothorax treated with surgery and insertion of an endobronchial Watanabe spigot: report of a case]","volume":"72","author":"Asakawa A","year":"2019","unstructured":"Asakawa A, Horio H, Mori E, et\u00a0al. [ Pneumocystis pneumonia-induced pneumothorax treated with surgery and insertion of an endobronchial Watanabe spigot: report of a case]. Kyobu Geka 2019; 72: 481\u2013483.","journal-title":"Kyobu Geka"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.9050-17"},{"key":"e_1_3_2_15_2","first-page":"S435","article-title":"Acute respiratory distress syndrome and pneumothorax.","volume":"6","author":"Terzi E","year":"2014","unstructured":"Terzi E, Zarogoulidis K, Kougioumtzi I, et\u00a0al. Acute respiratory distress syndrome and pneumothorax. J Thorac Dis 2014; 6: S435\u2013S442. 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