Decompression Technique Using Subcutaneous Angiocatheter Insertion to Relieve Extensive Subcutaneous Emphysema: A Case Report

被引:1
|
作者
Kim, Jong Hee [1 ]
Park, Gwan Jin [1 ,2 ]
Kim, Young Min [1 ]
Chai, Hyun Seok [1 ]
Kim, Sang Chul [1 ]
Kim, Hoon [1 ]
Lee, Suk Woo [1 ]
机构
[1] Chungbuk Natl Univ Hosp, Dept Emergency Med, Cheongju, South Korea
[2] Chungbuk Natl Univ Hosp, Dept Emergency Med, 776,1st Sunwhan Ro, Cheongju 28646, Chungcheongbuk, South Korea
来源
JOURNAL OF EMERGENCY MEDICINE | 2023年 / 64卷 / 04期
关键词
subcutaneous emphysema; respiratory in-sufficiency; decompression; catheter;
D O I
10.1016/j.jemermed.2023.02.019
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: Trauma, pneumothorax, com-plication of surgery, infection, or malignancy can cause subcutaneous emphysema and although most subcutaneous emphysema cases are self-limited, extensive subcutaneous emphysema can lead to a compromised airway and cardio-vascular system. In this report, we described a successful treatment strategy in which subcutaneous angiocatheter in-sertion was used to relieve the pressure of extensive subcuta-neous emphysema. Case Report: An 83-year-old man was received at the emergency department (ED) for recurrent pneumothorax and extensive subcutaneous emphysema. Six 18-gauge angiocatheters were inserted under the thoracic subcutaneous tissue and a noticeable improvement was seen 3 h after angiocatheter insertion. Why Should an Emergency Physician Be Aware of This?: Subcutaneous angiocatheter insertion may be a safe and uncomplicated decompression technique to relieve extensive subcutaneous emphysema, particularly in the ED.(c) 2023 Elsevier Inc. All rights re-served.
引用
收藏
页码:491 / 495
页数:5
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