Efficacy of Microdrainage in Severe Subcutaneous Emphysema

Leo, Francesco; Solli, Piergiorgio; Veronesi, Giulia; Spaggiari, Lorenzo; Pastorino, Ugo

doi:10.1378/chest.122.4.1498-a

Cited by 23 publications

(21 citation statements)

References 4 publications

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“…The most common drawback is the small luminal diameter which is susceptible to blockage. The time to complete resolution is also greater compared to other methods [10] . Repeated manual compressive massage increases the effectiveness but is cumbersome [6] .…”

Section: Discussionmentioning

confidence: 94%

High negative pressure subcutaneous suction drain for managing debilitating subcutaneous emphysema secondary to tube thoracostomy for an iatrogenic post computed tomography guided transthoracic needle biopsy pneumothorax: Case report and review of literature

Ahmed

Patel

Sharma

et al. 2016

International Journal of Surgery Case Reports

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HighlightsIatrogenic pneumothorax should be anticipated during and after a CT guided transthoracic needle biopsy and actively treated.Chest tube malposition is a common complication of tube thoracostomy.Chest tubes should always be inserted in the triangle of safety described by the British thoracic society.Debilitating subcutaneous emphysema which causes distress, anxiety, palpebral closure, dyspnoea or dysphagia requires intervention.High negative pressure subcutaneous suction drains provide immediate and sustained relief in extensive and debilitating SE.

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Section: Discussionmentioning

confidence: 94%

High negative pressure subcutaneous suction drain for managing debilitating subcutaneous emphysema secondary to tube thoracostomy for an iatrogenic post computed tomography guided transthoracic needle biopsy pneumothorax: Case report and review of literature

Ahmed

Patel

Sharma

et al. 2016

International Journal of Surgery Case Reports

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“…No entanto, a incisão pode fechar num estádio precoce, quando a pressão subcutânea resolveu parcialmente, deixando algum enfisema subcutâneo residual 3,20 . A inserção subcutânea de um cateter endovenoso com fenestrações tem sido muito utilizada como forma de microdrenagem do enfisema subcutâneo 2,23 . No entanto, dado o pequeno calibre do cateter, ele pode obstruir com sangue, sendo necessária a sua substituição.…”

Section: Discussionunclassified

“…No entanto, dado o pequeno calibre do cateter, ele pode obstruir com sangue, sendo necessária a sua substituição. 3 A colocação do cateter também pode não ser suficiente para alívio sintomático, sendo necessário efectuar massagem compressiva para direccionar o ar, permitindo a sua saída através do cateter 23 . O uso de tubos semirrígidos de maior calibre ou tubo tipo toracostomia também já foi descrito 24,25…”

Section: Discussionunclassified

Enfisema subcutâneo maciço – Tratamento com drenos subcutâneos

Sucena

Coelho²,

Almeida

et al. 2010

Revista Portuguesa de Pneumologia (English Edition)

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Caso Clínico Case Report Resumo O enfisema subcutâneo é uma complicação relativamente comum na sequência de técnicas invasivas, procedimentos cirúrgicos e algumas patologias médicas. Na maior parte dos casos apenas causa sintomatologia minor e o tratamento é habitualmente conservador. Mesmo quando grave, raramente tem consequências patofisiológicas significativas, apesar de ser extremamente desconfortável para o doente. Os autores descrevem um caso clínico de enfisema subcutâneo maciço, de rápida instalação, após saída acidental de tubo de drenagem torácica, em doente

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“…In patients recovering from thoracic surgery, painful cutaneous tension or palpebral occlusion from subcutaneous emphysema has been seen in 1.1% of patients. 14 The management of this condition varies. It may involve the creation of infraclavicular "blow holes," insertion of Penrose drains and microdrainage with fenestrated 14-gauge angiocatheters.…”

Section: Discussionmentioning

confidence: 99%

Traumatic occurrence of chest wall tamponade secondary to subcutaneous emphysema

Perraut

Gilday

Reed

2008

CJEM

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Subcutaneous emphysema is a physical finding that itself is usually perceived as benign yet rarely may, in and of itself, be life-threatening. We present an unusual case of a 67-year-old woman who developed delayed severe subcutaneous emphysema and tension pneumothorax from a rib fracture subsequent to a fall. We review the pathophysiology, manifestations and management options of this disorder. In patients whose clinical condition allows it, chest tube placement prior to intubation should be considered. Furthermore, positive end-expiratory pressure should be minimized. We present a case that illustrates how subcutaneous emphysema itself can be a potential cause of respiratory failure and tamponade physiology. In our case, a patient with traumatic subcutaneous emphysema developed respiratory failure and clinical deterioration after the introduction of positive pressure ventilation. In such rare scenarios, care should be taken to consider the absolute need for positive pressure ventilation without surgical decompression.

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Efficacy of Microdrainage in Severe Subcutaneous Emphysema

Cited by 23 publications

References 4 publications

High negative pressure subcutaneous suction drain for managing debilitating subcutaneous emphysema secondary to tube thoracostomy for an iatrogenic post computed tomography guided transthoracic needle biopsy pneumothorax: Case report and review of literature

High negative pressure subcutaneous suction drain for managing debilitating subcutaneous emphysema secondary to tube thoracostomy for an iatrogenic post computed tomography guided transthoracic needle biopsy pneumothorax: Case report and review of literature

Enfisema subcutâneo maciço – Tratamento com drenos subcutâneos

Traumatic occurrence of chest wall tamponade secondary to subcutaneous emphysema

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