Decompression Technique Using Subcutaneous Angiocatheter Insertion to Relieve Extensive Subcutaneous Emphysema: A
Jong Hee Kim1, Gwan Jin Park1, Young Min Kim1
1Department of Emergency Medicine, Chungbuk National University Hospital, Cheongju, Korea.
The Journal of Emergency Medicine
|March 31, 2023
Summary
Extensive subcutaneous emphysema can compromise airway and cardiovascular systems. Subcutaneous angiocatheter insertion offers a safe and effective decompression technique for this condition, particularly in emergency settings.
Area of Science:
- Emergency Medicine
- Thoracic Surgery
- Critical Care Medicine
Background:
- Subcutaneous emphysema can arise from trauma, surgery, infection, or malignancy.
- While often self-limiting, extensive cases pose risks to airway and cardiovascular function.
- This report focuses on a novel treatment for extensive subcutaneous emphysema.
Observation:
- A case of an 83-year-old male with recurrent pneumothorax and extensive subcutaneous emphysema is presented.
- Six 18-gauge angiocatheters were inserted into the thoracic subcutaneous tissue.
- Significant clinical improvement was observed within 3 hours post-insertion.
Findings:
- Subcutaneous angiocatheter insertion effectively relieved pressure from extensive subcutaneous emphysema.
- The procedure demonstrated a noticeable improvement in the patient's condition.
- This technique proved to be a successful treatment strategy.
Implications:
- Subcutaneous angiocatheter insertion is a potentially safe and uncomplicated method for decompressing extensive subcutaneous emphysema.
- Emergency physicians should consider this technique for managing severe subcutaneous emphysema.
- This approach may be particularly valuable in the emergency department setting.
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