Publication: Fatal bilateral pneumothorax and generalized emphysema following contraindicated speaking-valve application
Fatal bilateral pneumothorax and generalized emphysema following contraindicated speaking-valve application
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Heimer, J., Eggert, S., Fliss, B., & Meixner, E. (2019). Fatal bilateral pneumothorax and generalized emphysema following contraindicated speaking-valve application. Forensic Science, Medicine, and Pathology, 15(2), 239–242. https://doi.org/10.1007/s12024-019-00107-4
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We report a case of a contraindicated attachment of a speaking valve to a tracheal tube with an inflated cuff, which rapidly resulted in the patient’s death. The attached one-way valve allowed unrestrained inspiration through the tracheal tube but prevented physiological expiration. The increased pulmonary pressure resulted in alveolar rupture and replaced expiration with a steady release of air into the peribronchial sheaths and the mediastinum, resulting in what is commonly known as the Macklin effect. From the mediastinum, air infl
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- Heimer, Jakob
- Eggert, Sebastian
- Fliss, Barbara
- Meixner, Eva
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Heimer, J., Eggert, S., Fliss, B., & Meixner, E. (2019). Fatal bilateral pneumothorax and generalized emphysema following contraindicated speaking-valve application. Forensic Science, Medicine, and Pathology, 15(2), 239–242. https://doi.org/10.1007/s12024-019-00107-4
