associate chairman, department of anaesthesiology GRAZIANO C CARLON, MD, co-director, critical-care unit ESTEBAN CVITKOVIC, MD, associate physician, solid tumour service, department of medicine OLGA SCHWEIZER, MD, attending anaesthesiologist WILLIAM S HOWLAND, MD, chairman, department of anaesthesiology going removal of retroperitoneal lymph nodes or pulmonary metastases several preventive factors were established. These were the use of low concentrations of inspired oxygen during operation and in the immediate postoperative period, careful monitoring of fluid replacement, and restriction of crystalloids in favour of colloids.
The successful treatment of a patient with tension pneumocephalus by controlled decompression via external drainage is described. The advantage of the technique includes the immediate release of high pressure and the capability of maintaining constant low pressure to enable and facilitate sealing of dural tears. The method has been used in three other patients, leading to resolution of the tension pneumocephalus without recurrence or other complications.
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