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Related Experiment Videos

Massive subcutaneous emphysema following percutaneous tracheostomy.

David M Kaylie1, Mark K Wax

  • 1Oregon Health & Science University Portland, Oregon 97201, USA.

American Journal of Otolaryngology
|September 20, 2002
PubMed
Summary

Percutaneous dilatational tracheostomy is a common procedure for airway management. Massive subcutaneous emphysema is a rare complication, but can be managed by bypassing the tracheal tear.

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Area of Science:

  • Intensive Care Medicine
  • Pulmonology
  • Surgical Procedures

Background:

  • Bronchoscopic dilatational tracheostomy is increasingly preferred for airway management in chronic ventilated ICU patients.
  • It is recognized as a cost-effective and safe procedure when performed by experienced clinicians.
  • Complication rates are comparable to open tracheostomy, with subcutaneous emphysema being a rare occurrence.

Observation:

  • This study presents a case report of massive subcutaneous emphysema following percutaneous tracheostomy.
  • A retrospective review was conducted to analyze this rare complication.
  • The patient experienced significant subcutaneous emphysema after the procedure.

Findings:

  • Massive subcutaneous emphysema is a rare but significant complication of percutaneous tracheostomy.

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  • The case involved a posterior tracheal wall tear as the cause of the emphysema.
  • Management focused on bypassing the tracheal laceration to allow secondary healing.

    • Implications:

    • This highlights the importance of recognizing and managing rare complications of percutaneous tracheostomy.
    • Effective management strategies, such as bypassing tracheal tears, are crucial for patient outcomes.
    • Further research into preventing and managing subcutaneous emphysema after tracheostomy may be warranted.