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- W2081780578 abstract "300-9572/$ — see front matter © 2008 Elsevier Ireland Ltd. All rights re oi:10.1016/j.resuscitation.2008.04.014 n 81-year-old man presented with a recurrent ischemic troke and aspiration pneumonia. He required sedation, racheal intubated and mechanical ventilation for acute resiratory failure. A diagnostic thoracocentesis for bilateral leural effusions was complicated by a right-sided pneuothorax which required a chest drain. The pneumothorax eteriorated into a tension pneumothorax. Despite repeated nsertion of chest tubes, there was progressive subcutaeous emphysema involving the trunk (panel A) and lower xtremities. Air bubbles (arrow, panel B) were also seen at he insertion site of the left femoral venous catheter. The atient died from multiple organ failure. Subcutaneous emphysema is air trapped in the subcutaeous tissue. Causes include pneumothorax, gas gangrene, rauma, bronchopleural fistula, and barotrauma from echanical ventilation.1 Inadequate chest tube drainage, islodgement or blockage of the chest tube can also cause ubcutaneous emphysema. The clinical findings are tissue welling, crepitations on palpation, and skin indentation on pplying pressure. Air bubbles leaking from a skin defect, as n our patient, is an unusual sign. Subcutaneous emphysema" @default.
- W2081780578 created "2016-06-24" @default.
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- W2081780578 date "2008-09-01" @default.
- W2081780578 modified "2023-10-17" @default.
- W2081780578 title "Leakage of air bubbles in subcutaneous emphysema" @default.
- W2081780578 cites W2071263745 @default.
- W2081780578 doi "https://doi.org/10.1016/j.resuscitation.2008.04.014" @default.
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