[Massive subcutaneous emphysema--management using subcutaneous drains].

Abstract

Massive subcutaneous emphysema is a relatively common complication in invasive techniques, surgical practice and some medical conditions. Subcutaneous emphysema is usually treated conservatively and may only cause minimal symptoms. Even when it is severe, subcutaneous emphysema rarely has pathophysiologic consequences, but it is extremely uncomfortable for the patient. The authors report a case of massive and rapid developing subcutaneous emphysema following chest tube displacement in a patient with spontaneous se- condary pneumothorax and large air leak. The emphysema was treated with two subcutaneous drains, inserted using local anesthesia, on both sides of the chest (antero -superior thoracic wall), connected to drainage bags. The drains produced a dramatic clinical improvement and provided effective decompression of the subcutaneous emphysema. In this clinical case, the technique of drainage of severe subcutaneous emphysema using subcutaneous drains was safe, easy and effective, affording immediate symptom relief.

• Authors: Maria Sucena, Fernando Coelho, Teresa Almeida, António Gouveia, Venceslau Hespanhol
• Journal: Revista portuguesa de pneumologia (Rev Port Pneumol) 2010 Mar-Apr Vol. 16 Issue 2 Pg. 321-9 ISSN: 2172-6825 [Electronic] Spain
• Vernacular Title: Enfisema subcutâneo maciço - Tratamento com drenos subcutâneos.
• PMID: 20437008 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Aged, 80 and over
• Drainage (methods)
• Humans
• Male
• Severity of Illness Index
• Subcutaneous Emphysema (therapy)