Relief of tension subcutaneous emphysema using a large bore subcutaneous drain

Summary We report a case of subcutaneous emphysema following multiple attempts to cannulate both subclavian veins for pacemaker insertion. Initial bilateral pneumothoraces were complicated by subcutaneous emphysema which became so severe that respiration and cardiac output became seriously impaired....

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Bibliographic Details
Published in:Anaesthesia 1995-12, Vol.50 (12), p.1077-1079
Main Authors: Kelly, M. C., McGuigan, J. A., Allen, R. W.
Format: Article
Language:English
Subjects:
Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Catheterization, Central Venous - adverse effects
central venous catheter
chest drain
Complication
Drainage - methods
Emergency and intensive respiratory care
Humans
Intensive care medicine
Male
Medical sciences
Pacemaker, Artificial
pneumothorax
Pneumothorax - complications
subcutaneous emphysema
Subcutaneous Emphysema - etiology
Subcutaneous Emphysema - therapy
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Summary:Summary We report a case of subcutaneous emphysema following multiple attempts to cannulate both subclavian veins for pacemaker insertion. Initial bilateral pneumothoraces were complicated by subcutaneous emphysema which became so severe that respiration and cardiac output became seriously impaired. The insertion of a single large bore subcutaneous drain produced a dramatic improvement. The aetiology, complications and management of tension subcutaneous emphysema are discussed.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1995.tb05955.x