{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:16:48Z","timestamp":1761808608911},"reference-count":5,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:p>Prior to a scheduled operation for a 45-year-old male patient with tongue cancer, a tracheotomy performed under intravenous sedation to prevent asphyxia due to extensive bleeding resulted in pneumomediastinum and subcutaneous emphysema. The planned operations were postponed until reduction of the pneumomediastinum was confirmed. During operation, airway pressure was kept low to prevent tension pneumomediastinum along with a sufficient depth of anesthesia, controlled analgesia, and continuous administration of muscle relaxants. Postoperatively, sedation was used to avoid stress and complications with the vascular anastomosis site. In this case, air leakage into the soft tissues was one of the possible causes of the event associated with increased airway pressure. Although the incidence of such complications is relatively low, caution should be exercised after tracheostomy.<\/jats:p>","DOI":"10.2344\/anpr-69-03-02","type":"journal-article","created":{"date-parts":[[2022,12,19]],"date-time":"2022-12-19T18:38:49Z","timestamp":1671475129000},"page":"37-39","source":"Crossref","is-referenced-by-count":1,"title":["Perioperative Management of a Patient With Tongue Cancer Who Developed Pneumomediastinum Following Tracheostomy Performed to Secure the Airway"],"prefix":"10.2344","volume":"69","author":[{"given":"Ken","family":"Takahashi","sequence":"first","affiliation":[{"name":"Dental Anesthesia and Orofacial Pain Management, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoka","family":"Matsumura","sequence":"additional","affiliation":[{"name":"Dental Anesthesia and Orofacial Pain Management, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yushi","family":"Abe","sequence":"additional","affiliation":[{"name":"Dental Anesthesia and Orofacial Pain Management, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Nakajima","sequence":"additional","affiliation":[{"name":"Dental Anesthesia and Orofacial Pain Management, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Funayama","sequence":"additional","affiliation":[{"name":"Dental Anesthesia and Orofacial Pain Management, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thunshuda","family":"Sumphaongern","sequence":"additional","affiliation":[{"name":"Dental Anesthesia and Orofacial Pain Management, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryo","family":"Wakita","sequence":"additional","affiliation":[{"name":"Dental Anesthesia and Orofacial Pain Management, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeru","family":"Maeda","sequence":"additional","affiliation":[{"name":"Dental Anesthesia and Orofacial Pain Management, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1191","published-online":{"date-parts":[[2022,12,19]]},"reference":[{"key":"2023021718361574800_","doi-asserted-by":"crossref","unstructured":"Taniyama T, Sugiyama T, Araki M, Fukukita K, Yamada H, Hosoi H. A study of emergent tracheotomy in Japanese. J Jpn Broncho-Esophagological Soc. 2013; 64(3): 189\u2013 193.","DOI":"10.2468\/jbes.64.189"},{"key":"2023021718361574800_","unstructured":"Kunimori H, Jinno S, Wakita R, et al. Subcutaneous and mediastinal emphysema following pharyngeal injury caused by the intubation of endotracheal tube: a case report in Japanese. J Jpn Dent Soc Anesthesiol. 2007; 35(2): 192\u2013 195."},{"key":"2023021718361574800_","unstructured":"Katori K, Azuma K, Higa K. A case of sever bilateral pneumothorax after tracheotomy in Japanese. Japanese J Reanimatol. 2000; 19(2): 138\u2013 139."},{"key":"2023021718361574800_","unstructured":"Miyamoto Y, Tanaka K, Harada J. Admission to intensive care unit after the development of subcutaneous emphysema and mediastinal emphysema during oral surgery performed under general anesthesia in Japanese. J Jpn Dent Soc Anesthesiol. 2018; 46(3): 142\u2013 144."},{"key":"2023021718361574800_","unstructured":"Funahashi K, Ohama N, Imaki S. A case of idiopathic mediastinal emphysema with developing respiratory arrest during returning home in Japanese. KANTO J Japanese Assoc Acute Med. 1997; 18(2): 590\u2013 591."}],"container-title":["Anesthesia Progress"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/meridian.allenpress.com\/anesthesia-progress\/article-pdf\/69\/4\/37\/3190798\/i1878-7177-69-4-37.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/meridian.allenpress.com\/anesthesia-progress\/article-pdf\/69\/4\/37\/3190798\/i1878-7177-69-4-37.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T19:51:28Z","timestamp":1705607488000},"score":1,"resource":{"primary":{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/69\/4\/article-p37.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,1]]},"references-count":5,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,12,19]]},"published-print":{"date-parts":[[2022,12,1]]}},"URL":"https:\/\/doi.org\/10.2344\/anpr-69-03-02","relation":{},"ISSN":["1878-7177","0003-3006"],"issn-type":[{"value":"1878-7177","type":"electronic"},{"value":"0003-3006","type":"print"}],"subject":[],"published":{"date-parts":[[2022,12,1]]}}}